How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,230 to $7,413Professionalmedian $1,622 · 10th to 90th $708 to $2,570
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,778.28 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,778.28 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $6,025.60 Typical High $15,488.17 | Facility | None | $891.25 | $6,025.60 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,187.76 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $14,454.40 | Facility | None | $3,890.45 | $6,165.95 | $14,454.40 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,778.28 Typical High $7,413.10 | Facility | None | $870.96 | $1,778.28 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $8,317.64 | Professional | None | $645.65 | $794.33 | $8,317.64 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,548.82 | Professional | None | $562.34 | $794.33 | $1,548.82 |
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 $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
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· 5th of 51
$1,660
HI $1,950DE $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.