How much rates vary
Facilitymedian $5,623 · 10th to 90th $3,802 to $24,547Professionalmedian $5,248 · 10th to 90th $2,291 to $8,128
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,265.80 | $4,786.30 | $4,786.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $8,709.64 | Facility | None | $5,128.61 | $5,623.41 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,677.35 Median $5,754.40 Typical High $5,754.40 | Professional | None | $4,677.35 | $5,754.40 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $19,054.61 Typical High $48,977.88 | Facility | None | $3,630.78 | $19,054.61 | $48,977.88 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,918.31 Typical High $8,317.64 | Professional | None | $6,606.93 | $6,918.31 | $8,317.64 |
Health Partners Setting Facility Modifier None Typical Low $12,302.69 Median $19,498.45 Typical High $46,773.51 | Facility | None | $12,302.69 | $19,498.45 | $46,773.51 |
Health Partners Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $5,623.41 Typical High $24,547.09 | Facility | None | $2,238.72 | $5,623.41 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $30,199.52 | Professional | None | $2,041.74 | $3,467.37 | $30,199.52 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $6,165.95 | Facility | None | $3,090.30 | $3,311.31 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,778.28 | $2,818.38 | $4,897.79 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | 52 · Reduced service | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 53 · Discontinued | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 55 · Aftercare only | $707.95 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 56 · Pre-op care only | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,137.96 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,137.96 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $851.14 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $645.65 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $426.58 | $478.63 | $478.63 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$5,495
HI $7,413PA $2,455
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.