How much rates vary
Facilitymedian $1,175 · 10th to 90th $832 to $6,310Professionalmedian $1,072 · 10th to 90th $562 to $1,738
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,174.90 | $1,819.70 |
BCBS Minnesota Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,981.07 Typical High $10,232.93 | Facility | None | $741.31 | $3,981.07 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,445.44 | $1,737.80 |
Health Partners Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $9,549.93 | Facility | None | $2,570.40 | $4,073.80 | $9,549.93 |
Health Partners Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $6,309.57 | Facility | None | $676.08 | $1,230.27 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $10,000.00 | Professional | None | $467.74 | $645.65 | $10,000.00 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,584.89 | Facility | None | $776.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None Typical Low $389.05 Median $630.96 Typical High $1,258.93 | Professional | None | $389.05 | $630.96 | $1,258.93 |
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 $416.87 Median $416.87 Typical High $416.87 | Facility | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $85.11 |
Where Minnesota sits
The same service costs 4.6 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
$1,175
HI $2,455DE $537
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.