How much rates vary
Facilitymedian $871 · 10th to 90th $589 to $3,981Professionalmedian $813 · 10th to 90th $398 to $1,288
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None | $741.31 | $741.31 | $758.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $794.33 Median $870.96 Typical High $1,348.96 | Facility | None | $794.33 | $870.96 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $891.25 | Professional | None | $724.44 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,951.21 Typical High $7,585.78 | Facility | None | $588.84 | $2,951.21 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,071.52 | $1,288.25 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $7,244.36 | Facility | None | $1,905.46 | $3,019.95 | $7,244.36 |
Health Partners Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $870.96 Typical High $4,073.80 | Facility | None | $398.11 | $870.96 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $5,248.07 | Professional | None | $354.81 | $588.84 | $5,248.07 |
United Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $1,071.52 | Facility | None | $181.97 | $398.11 | $1,071.52 |
United Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $851.14 | Professional | None | $295.12 | $467.74 | $851.14 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 52 · Reduced service | $371.54 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $75.86 |
Where Minnesota sits
The same service costs 2.5 times more in Montana than in Alabama. 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· 7th of 51
$871
MT $1,072AL $427
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.