How much rates vary
Facilitymedian $3,311 · 10th to 90th $2,188 to $14,791Professionalmedian $3,020 · 10th to 90th $1,380 to $4,786
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,754.23 | $2,754.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,951.21 Median $3,311.31 Typical High $5,011.87 | Facility | None | $2,951.21 | $3,311.31 | $5,011.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,691.53 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $11,220.18 Typical High $28,840.32 | Facility | None | $1,737.80 | $11,220.18 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,073.80 Typical High $4,897.79 | Professional | None | $3,801.89 | $4,073.80 | $4,897.79 |
Health Partners Setting Facility Modifier None Typical Low $7,244.36 Median $11,481.54 Typical High $26,915.35 | Facility | None | $7,244.36 | $11,481.54 | $26,915.35 |
Health Partners Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,311.31 Typical High $14,791.08 | Facility | None | $1,479.11 | $3,311.31 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $16,982.44 | Professional | None | $1,148.15 | $2,089.30 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,445.44 | $1,621.81 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,659.59 | $2,884.03 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 55 · Aftercare only | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Where Minnesota sits
The same service costs 2.7 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· 3rd of 51
$3,162
HI $3,388DE $1,259
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.