How much rates vary
Facilitymedian $5,129 · 10th to 90th $4,266 to $20,893Professionalmedian $4,677 · 10th to 90th $2,042 to $7,586
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $7,762.47 | Facility | None | $4,570.88 | $5,128.61 | $7,762.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $5,248.07 | Professional | None | $4,168.69 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $17,378.01 Typical High $43,651.58 | Facility | None | $3,019.95 | $17,378.01 | $43,651.58 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $6,309.57 Typical High $7,585.78 | Professional | None | $5,888.44 | $6,309.57 | $7,585.78 |
Health Partners Setting Facility Modifier None Typical Low $11,220.18 Median $17,782.79 Typical High $41,686.94 | Facility | None | $11,220.18 | $17,782.79 | $41,686.94 |
Health Partners Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $20,892.96 | Facility | None | $3,019.95 | $5,248.07 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $26,302.68 | Professional | None | $1,737.80 | $2,951.21 | $26,302.68 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $5,370.32 Typical High $6,456.54 | Facility | None | $4,570.88 | $5,370.32 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $4,265.80 | Professional | None | $1,548.82 | $2,570.40 | $4,265.80 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | 52 · Reduced service | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 53 · Discontinued | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | 55 · Aftercare only | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 56 · Pre-op care only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,819.70 Median $2,137.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,819.70 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | 53 · Discontinued | $741.31 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | 55 · Aftercare only | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | 56 · Pre-op care only | $363.08 | $426.58 | $426.58 |
Where Minnesota sits
The same service costs 2.4 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· 3rd of 51
$5,129
HI $5,248WV $2,188
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.