How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,291 to $14,791Professionalmedian $3,090 · 10th to 90th $1,413 to $4,898
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,691.53 | $2,884.03 | $2,884.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $5,128.61 | Facility | None | $3,090.30 | $3,388.44 | $5,128.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $11,481.54 Typical High $29,512.09 | Facility | None | $1,778.28 | $11,481.54 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $5,011.87 | Professional | None | $3,981.07 | $4,168.69 | $5,011.87 |
Health Partners Setting Facility Modifier None Typical Low $7,413.10 Median $11,748.98 Typical High $27,542.29 | Facility | None | $7,413.10 | $11,748.98 | $27,542.29 |
Health Partners Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,388.44 Typical High $14,791.08 | Facility | None | $1,445.44 | $3,388.44 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $18,197.01 | Professional | None | $1,348.96 | $2,137.96 | $18,197.01 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,737.80 | $2,951.21 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,380.38 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $549.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $416.87 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $288.40 |
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· 6th of 51
$3,311
HI $4,169DE $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.