How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,905 to $12,023Professionalmedian $2,692 · 10th to 90th $1,175 to $4,266
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,089.30 | $2,511.89 | $2,511.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $4,570.88 | Facility | None | $2,691.53 | $2,951.21 | $4,570.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,398.83 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $10,000.00 Typical High $25,703.96 | Facility | None | $1,819.70 | $10,000.00 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,630.78 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $6,456.54 Median $10,232.93 Typical High $23,988.33 | Facility | None | $6,456.54 | $10,232.93 | $23,988.33 |
Health Partners Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $12,022.64 | Facility | None | $1,258.93 | $2,951.21 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $14,454.40 | Professional | None | $1,096.48 | $1,698.24 | $14,454.40 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,090.30 | Facility | None | $870.96 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $2,511.89 | Professional | None | $891.25 | $1,479.11 | $2,511.89 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,174.90 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $478.63 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $354.81 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $239.88 | $251.19 | $251.19 |
Where Minnesota sits
The same service costs 2.3 times more in Wisconsin 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· 2nd of 51
$2,884
WI $2,951PA $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.