How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,514 to $7,762Professionalmedian $1,660 · 10th to 90th $741 to $2,630
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,513.56 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,754.23 | Facility | None | $1,621.81 | $1,819.70 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,230.27 | $6,165.95 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,238.72 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $14,791.08 | Facility | None | $3,981.07 | $6,309.57 | $14,791.08 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $7,762.47 | Facility | None | $630.96 | $1,819.70 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $8,317.64 | Professional | None | $660.69 | $1,122.02 | $8,317.64 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Facility | None | $851.14 | $851.14 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,584.89 | Professional | None | $575.44 | $912.01 | $1,584.89 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $676.08 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $134.90 | $151.36 | $151.36 |
Where Minnesota sits
The same service costs 2.1 times more in Wisconsin than in Florida. 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
$1,778
WI $1,820FL $871
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.