How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,072 to $7,079Professionalmedian $1,479 · 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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,454.71 | Facility | None | $1,445.44 | $1,584.89 | $2,454.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $5,370.32 Typical High $13,803.84 | Facility | None | $1,047.13 | $5,370.32 | $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 $13,182.57 | Facility | None | $3,467.37 | $5,495.41 | $13,182.57 |
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 $676.08 Median $1,584.89 Typical High $7,079.46 | Facility | None | $676.08 | $1,584.89 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $9,332.54 | Professional | None | $575.44 | $1,023.29 | $9,332.54 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,862.09 | Facility | None | $912.01 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,412.54 | Professional | None | $537.03 | $812.83 | $1,412.54 |
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 $676.08 Median $676.08 Typical High $676.08 | Facility | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
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· 5th of 51
$1,549
HI $2,344PA $759
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.