How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,349 to $7,244Professionalmedian $1,445 · 10th to 90th $692 to $2,344
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,348.96 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,584.89 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $5,495.41 Typical High $13,803.84 | Facility | None | $954.99 | $5,495.41 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,862.09 | $1,949.84 | $2,344.23 |
Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $12,882.50 | Facility | None | $3,467.37 | $5,495.41 | $12,882.50 |
Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,621.81 Typical High $7,413.10 | Facility | None | $691.83 | $1,621.81 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $3,019.95 | Professional | None | $630.96 | $1,071.52 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,949.84 | $2,290.87 |
United Setting Professional Modifier None Typical Low $524.81 Median $831.76 Typical High $1,445.44 | Professional | None | $524.81 | $831.76 | $1,445.44 |
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 $660.69 Median $660.69 Typical High $660.69 | Facility | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $645.65 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $263.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $128.82 | $134.90 | $134.90 |
Where Minnesota sits
The same service costs 2.4 times more in Montana 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· 2nd of 51
$1,585
MT $1,660DE $692
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.