How much rates vary
Facilitymedian $3,020 · 10th to 90th $2,042 to $13,490Professionalmedian $2,818 · 10th to 90th $1,230 to $4,467
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,754.23 | $3,019.95 | $4,677.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,454.71 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $10,232.93 Typical High $26,302.68 | Facility | None | $1,548.82 | $10,232.93 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $4,466.84 | Professional | None | $3,548.13 | $3,715.35 | $4,466.84 |
Health Partners Setting Facility Modifier None Typical Low $6,606.93 Median $10,471.29 Typical High $24,547.09 | Facility | None | $6,606.93 | $10,471.29 | $24,547.09 |
Health Partners Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $3,019.95 Typical High $13,489.63 | Facility | None | $1,230.27 | $3,019.95 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,202.26 | $1,862.09 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $3,388.44 | Facility | None | $1,479.11 | $1,698.24 | $3,388.44 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,630.27 | Professional | None | $977.24 | $1,584.89 | $2,630.27 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Where Minnesota sits
The same service costs 3.0 times more in Iowa 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· 8th of 51
$2,951
IA $3,311DE $1,122
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.