How much rates vary
Facilitymedian $1,096 · 10th to 90th $776 to $5,129Professionalmedian $1,023 · 10th to 90th $490 to $1,622
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,096.48 | $1,698.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $891.25 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,801.89 Typical High $9,549.93 | Facility | None | $616.60 | $3,801.89 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,348.96 | $1,621.81 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $8,912.51 | Facility | None | $2,398.83 | $3,801.89 | $8,912.51 |
Health Partners Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $5,128.61 | Facility | None | $741.31 | $1,148.15 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $5,623.41 | Professional | None | $436.52 | $549.54 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,621.81 | Facility | None | $1,148.15 | $1,348.96 | $1,621.81 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,071.52 | Professional | None | $363.08 | $549.54 | $1,071.52 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | 52 · Reduced service | $389.05 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | 53 · Discontinued | $154.88 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $81.28 |
Where Minnesota sits
The same service costs 2.6 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· 4th of 51
$1,096
HI $1,175DE $447
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.