How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,660 to $11,220Professionalmedian $2,291 · 10th to 90th $1,047 to $3,715
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,801.89 | Facility | None | $2,238.72 | $2,511.89 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $8,511.38 Typical High $21,877.62 | Facility | None | $1,621.81 | $8,511.38 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,884.03 | $3,090.30 | $3,715.35 |
Health Partners Setting Facility Modifier None Typical Low $5,495.41 Median $8,709.64 Typical High $20,417.38 | Facility | None | $5,495.41 | $8,709.64 | $20,417.38 |
Health Partners Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $11,220.18 | Facility | None | $1,202.26 | $2,511.89 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $13,803.84 | Professional | None | $933.25 | $1,584.89 | $13,803.84 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,187.76 | Professional | None | $812.83 | $1,258.93 | $2,187.76 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Where Minnesota sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 4th of 51
$2,455
HI $3,020PA $1,122
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.