How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,660 to $11,220Professionalmedian $2,291 · 10th to 90th $1,072 to $3,631
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 $2,041.74 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,041.74 | $2,089.30 | $2,089.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $3,801.89 | Facility | None | $2,238.72 | $2,454.71 | $3,801.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,995.26 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $8,317.64 Typical High $21,379.62 | Facility | None | $1,584.89 | $8,317.64 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,019.95 | $3,630.78 |
Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $8,511.38 Typical High $20,417.38 | Facility | None | $5,370.32 | $8,511.38 | $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 $1,096.48 Median $2,454.71 Typical High $11,481.54 | Facility | None | $1,096.48 | $2,454.71 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $13,803.84 | Professional | None | $977.24 | $1,621.81 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,951.21 | Facility | None | $1,258.93 | $1,445.44 | $2,951.21 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $2,187.76 | Professional | None | $831.76 | $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 $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
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 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· 7th of 51
$2,399
HI $3,162DE $1,175
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.