How much rates vary
Facilitymedian $955 · 10th to 90th $708 to $4,266Professionalmedian $871 · 10th to 90th $437 to $1,380
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | None | $794.33 | $794.33 | $812.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,445.44 | Facility | None | $851.14 | $954.99 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | None | $776.25 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,235.94 Typical High $8,128.31 | Facility | None | $616.60 | $3,235.94 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,174.90 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $7,762.47 | Facility | None | $2,041.74 | $3,311.31 | $7,762.47 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $4,677.35 | Facility | None | $407.38 | $954.99 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $6,606.93 | Professional | None | $380.19 | $660.69 | $6,606.93 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,202.26 | Facility | None | $588.84 | $707.95 | $1,202.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $912.01 | Professional | None | $316.23 | $512.86 | $912.01 |
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 $398.11 Median $398.11 Typical High $398.11 | Facility | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $83.18 |
Where Minnesota sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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· 9th of 51
$933
HI $1,660TN $447
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.