How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,318 to $8,710Professionalmedian $1,738 · 10th to 90th $871 to $2,818
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,884.03 | Facility | None | $1,737.80 | $1,905.46 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,548.82 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $6,456.54 Typical High $16,595.87 | Facility | None | $1,230.27 | $6,456.54 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,344.23 | $2,818.38 |
Health Partners Setting Facility Modifier None Typical Low $4,168.69 Median $6,606.93 Typical High $15,488.17 | Facility | None | $4,168.69 | $6,606.93 | $15,488.17 |
Health Partners Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,905.46 Typical High $9,332.54 | Facility | None | $977.24 | $1,905.46 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $11,481.54 | Professional | None | $724.44 | $1,288.25 | $11,481.54 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,344.23 | Facility | None | $977.24 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,737.80 | Professional | None | $630.96 | $1,000.00 | $1,737.80 |
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 $794.33 Median $794.33 Typical High $794.33 | Facility | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $158.49 |
Where Minnesota sits
The same service costs 2.8 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· 6th of 51
$1,862
HI $2,455PA $891
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.