How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,698 to $9,333Professionalmedian $1,862 · 10th to 90th $912 to $2,951
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,698.24 | $1,698.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,041.74 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,659.59 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $6,918.31 Typical High $17,782.79 | Facility | None | $1,318.26 | $6,918.31 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,344.23 | $2,511.89 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $4,466.84 Median $7,079.46 Typical High $16,595.87 | Facility | None | $4,466.84 | $7,079.46 | $16,595.87 |
Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $2,041.74 Typical High $9,549.93 | Facility | None | $870.96 | $2,041.74 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $14,454.40 | Professional | None | $812.83 | $1,380.38 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,454.71 | Facility | None | $1,000.00 | $1,000.00 | $2,454.71 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,071.52 Typical High $1,862.09 | Professional | None | $676.08 | $1,071.52 | $1,862.09 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $831.76 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $331.13 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $165.96 | $169.82 | $169.82 |
Where Minnesota sits
The same service costs 3.0 times more in Kansas 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
$2,042
KS $2,818DE $955
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.