How much rates vary
Facilitymedian $5,754 · 10th to 90th $3,890 to $24,547Professionalmedian $5,248 · 10th to 90th $2,291 to $8,318
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 $4,466.84 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,466.84 | $4,786.30 | $4,786.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,248.07 Median $5,754.40 Typical High $8,709.64 | Facility | None | $5,248.07 | $5,754.40 | $8,709.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $5,888.44 | Professional | None | $4,677.35 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $19,498.45 Typical High $50,118.72 | Facility | None | $2,884.03 | $19,498.45 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $7,079.46 Typical High $8,511.38 | Professional | None | $6,606.93 | $7,079.46 | $8,511.38 |
Health Partners Setting Facility Modifier None Typical Low $12,589.25 Median $19,952.62 Typical High $46,773.51 | Facility | None | $12,589.25 | $19,952.62 | $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 $2,137.96 Median $5,754.40 Typical High $24,547.09 | Facility | None | $2,137.96 | $5,754.40 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $30,199.52 | Professional | None | $2,290.87 | $3,467.37 | $30,199.52 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,090.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $4,897.79 | Professional | None | $1,778.28 | $2,951.21 | $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 $977.24 Median $977.24 Typical High $977.24 | Facility | 53 · Discontinued | $977.24 | $977.24 | $977.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 55 · Aftercare only | $724.44 | $724.44 | $724.44 |
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 $2,238.72 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,238.72 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $891.25 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $660.69 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $446.68 | $478.63 | $478.63 |
Where Minnesota sits
The same service costs 3.4 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· 6th of 51
$5,623
HI $7,079DE $2,089
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.