How much rates vary
Facilitymedian $3,467 · 10th to 90th $2,344 to $15,488Professionalmedian $3,162 · 10th to 90th $1,445 to $5,129
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,951.21 | $2,951.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $5,370.32 | Facility | None | $3,162.28 | $3,467.37 | $5,370.32 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,818.38 | $3,548.13 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $11,748.98 Typical High $30,199.52 | Facility | None | $1,819.70 | $11,748.98 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $5,128.61 | Professional | None | $4,073.80 | $4,265.80 | $5,128.61 |
Health Partners Setting Facility Modifier None Typical Low $7,585.78 Median $12,022.64 Typical High $28,183.83 | Facility | None | $7,585.78 | $12,022.64 | $28,183.83 |
Health Partners Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $15,488.17 | Facility | None | $1,445.44 | $3,467.37 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $19,054.61 | Professional | None | $1,258.93 | $2,187.76 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,737.80 | $3,019.95 |
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 56 · Pre-op care only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,380.38 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $549.54 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $407.38 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $275.42 | $295.12 | $295.12 |
Where Minnesota sits
The same service costs 3.1 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
$3,388
HI $4,074DE $1,318
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.