How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,820 to $12,303Professionalmedian $2,512 · 10th to 90th $1,202 to $3,981
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $4,168.69 | Facility | None | $2,454.71 | $2,754.23 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,238.72 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $9,332.54 Typical High $23,442.29 | Facility | None | $1,778.28 | $9,332.54 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,981.07 | Professional | None | $3,162.28 | $3,388.44 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $6,025.60 Median $9,549.93 Typical High $22,387.21 | Facility | None | $6,025.60 | $9,549.93 | $22,387.21 |
Health Partners Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,754.23 Typical High $12,882.50 | Facility | None | $1,288.25 | $2,754.23 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $15,488.17 | Professional | None | $1,096.48 | $1,819.70 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,548.82 | $3,311.31 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,511.89 | Professional | None | $912.01 | $1,445.44 | $2,511.89 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Where Minnesota sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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
$2,692
HI $3,467MD $1,288
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.