How much rates vary
Facilitymedian $1,380 · 10th to 90th $955 to $7,413Professionalmedian $1,259 · 10th to 90th $646 to $2,042
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | None | $954.99 | $954.99 | $1,000.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,380.38 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,677.35 Typical High $12,022.64 | Facility | None | $891.25 | $4,677.35 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,698.24 | $2,041.74 |
Health Partners Setting Facility Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $11,220.18 | Facility | None | $3,019.95 | $4,786.30 | $11,220.18 |
Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $7,413.10 | Facility | None | $831.76 | $1,445.44 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $8,128.31 | Professional | None | $549.54 | $758.58 | $8,128.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,479.11 | Professional | None | $457.09 | $758.58 | $1,479.11 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 52 · Reduced service | $478.63 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $100.00 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 9th of 51
$1,380
HI $1,905DE $646
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.