How much rates vary
Facilitymedian $2,884 · 10th to 90th $2,188 to $13,183Professionalmedian $2,692 · 10th to 90th $1,380 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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,454.71 | $2,511.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $4,466.84 | Facility | None | $2,630.27 | $2,884.03 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $9,772.37 Typical High $25,118.86 | Facility | None | $2,041.74 | $9,772.37 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,388.44 | $3,548.13 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $23,988.33 | Facility | None | $6,309.57 | $10,000.00 | $23,988.33 |
Health Partners Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $15,135.61 | Facility | None | $1,288.25 | $2,884.03 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $19,054.61 | Professional | None | $1,148.15 | $2,137.96 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,884.03 | Professional | None | $977.24 | $1,659.59 | $2,884.03 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | 55 · Aftercare only | $363.08 | $363.08 | $363.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $489.78 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $251.19 |
Where Minnesota sits
The same service costs 3.1 times more in Hawaii 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· 10th of 51
$2,884
HI $4,677PA $1,514
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.