How much rates vary
Facilitymedian $1,288 · 10th to 90th $1,000 to $5,888Professionalmedian $1,202 · 10th to 90th $646 to $1,905
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,288.25 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,047.13 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $4,365.16 Typical High $11,220.18 | Facility | None | $912.01 | $4,365.16 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,584.89 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $10,471.29 | Facility | None | $2,818.38 | $4,466.84 | $10,471.29 |
Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $6,760.83 | Facility | None | $676.08 | $1,288.25 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $8,511.38 | Professional | None | $512.86 | $977.24 | $8,511.38 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,737.80 | Facility | None | $575.44 | $676.08 | $1,737.80 |
United Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,318.26 | Professional | None | $426.58 | $758.58 | $1,318.26 |
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 $537.03 Median $537.03 Typical High $537.03 | Facility | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Where Minnesota sits
The same service costs 2.3 times more in Hawaii 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· 8th of 51
$1,288
HI $1,514DE $661
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.