How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,951 to $19,953Professionalmedian $4,074 · 10th to 90th $1,995 to $6,457
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $6,760.83 | Facility | None | $3,981.07 | $4,365.16 | $6,760.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,548.13 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,548.13 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $14,791.08 Typical High $38,018.94 | Facility | None | $2,754.23 | $14,791.08 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $6,456.54 | Professional | None | $5,128.61 | $5,370.32 | $6,456.54 |
Health Partners Setting Facility Modifier None Typical Low $9,549.93 Median $15,135.61 Typical High $35,481.34 | Facility | None | $9,549.93 | $15,135.61 | $35,481.34 |
Health Partners Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $4,365.16 Typical High $20,892.96 | Facility | None | $1,949.84 | $4,365.16 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $23,988.33 | Professional | None | $1,659.59 | $2,951.21 | $23,988.33 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $5,370.32 | Facility | None | $2,187.76 | $2,398.83 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,344.23 | $3,981.07 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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
$4,266
HI $5,129WV $1,995
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.