How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,202 to $8,128Professionalmedian $1,622 · 10th to 90th $776 to $2,630
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,621.81 | $1,778.28 | $2,691.53 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $6,025.60 Typical High $15,488.17 | Facility | None | $954.99 | $6,025.60 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,187.76 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $14,454.40 | Facility | None | $3,890.45 | $6,165.95 | $14,454.40 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,778.28 Typical High $8,317.64 | Facility | None | $741.31 | $1,778.28 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $10,000.00 | Professional | None | $707.95 | $1,148.15 | $10,000.00 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,089.30 | Facility | None | $173.78 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,659.59 | Professional | None | $588.84 | $933.25 | $1,659.59 |
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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Where Minnesota sits
The same service costs 3.2 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· 9th of 51
$1,738
HI $2,239DE $708
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.