How much rates vary
Facilitymedian $7,586 · 10th to 90th $5,370 to $33,113Professionalmedian $6,918 · 10th to 90th $3,090 to $10,965
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 $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,754.40 | $6,309.57 | $6,309.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,760.83 Median $7,585.78 Typical High $11,481.54 | Facility | None | $6,760.83 | $7,585.78 | $11,481.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6,165.95 Median $7,585.78 Typical High $7,585.78 | Professional | None | $6,165.95 | $7,585.78 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $25,703.96 Typical High $64,565.42 | Facility | None | $4,897.79 | $25,703.96 | $64,565.42 |
Cigna Setting Professional Modifier None Typical Low $8,709.64 Median $9,332.54 Typical High $10,964.78 | Professional | None | $8,709.64 | $9,332.54 | $10,964.78 |
Health Partners Setting Facility Modifier None Typical Low $16,218.10 Median $26,302.68 Typical High $61,659.50 | Facility | None | $16,218.10 | $26,302.68 | $61,659.50 |
Health Partners Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $2,754.23 Median $7,585.78 Typical High $33,113.11 | Facility | None | $2,754.23 | $7,585.78 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $4,677.35 Typical High $46,773.51 | Professional | None | $2,818.38 | $4,677.35 | $46,773.51 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,317.64 | Facility | None | $4,073.80 | $5,370.32 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $6,606.93 | Professional | None | $2,398.83 | $3,715.35 | $6,606.93 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | 52 · Reduced service | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | 53 · Discontinued | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 55 · Aftercare only | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 56 · Pre-op care only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,884.03 Median $3,162.28 Typical High $3,162.28 | Professional | 52 · Reduced service | $2,884.03 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 53 · Discontinued | $1,148.15 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | 55 · Aftercare only | $851.14 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $575.44 Median $630.96 Typical High $630.96 | Professional | 56 · Pre-op care only | $575.44 | $630.96 | $630.96 |
Where Minnesota sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 7th of 51
$7,244
HI $11,482DC $3,311
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.