How much rates vary
Facilitymedian $5,495 · 10th to 90th $4,365 to $25,119Professionalmedian $5,129 · 10th to 90th $2,399 to $8,128
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,981.07 | $4,677.35 | $4,677.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $8,511.38 | Facility | None | $5,011.87 | $5,495.41 | $8,511.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,466.84 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $18,620.87 Typical High $47,863.01 | Facility | None | $3,548.13 | $18,620.87 | $47,863.01 |
Cigna Setting Professional Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $8,128.31 | Professional | None | $6,456.54 | $6,760.83 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $12,022.64 Median $19,054.61 Typical High $44,668.36 | Facility | None | $12,022.64 | $19,054.61 | $44,668.36 |
Health Partners Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $5,495.41 Typical High $25,703.96 | Facility | None | $2,089.30 | $5,495.41 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $44,668.36 | Professional | None | $1,995.26 | $3,630.78 | $44,668.36 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,819.70 | $2,818.38 | $4,897.79 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 52 · Reduced service | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 53 · Discontinued | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 55 · Aftercare only | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 56 · Pre-op care only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,949.84 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $794.33 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $588.84 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 56 · Pre-op care only | $398.11 | $467.74 | $467.74 |
Where Minnesota sits
The same service costs 4.3 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
$5,370
HI $11,220PA $2,630
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.