How much rates vary
Facilitymedian $4,467 · 10th to 90th $3,802 to $20,417Professionalmedian $4,074 · 10th to 90th $1,905 to $6,607
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,801.89 | $3,801.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $6,918.31 | Facility | None | $4,073.80 | $4,466.84 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,630.78 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $15,135.61 Typical High $38,904.51 | Facility | None | $2,511.89 | $15,135.61 | $38,904.51 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $6,606.93 | Professional | None | $5,248.07 | $5,495.41 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $9,772.37 Median $15,488.17 Typical High $36,307.81 | Facility | None | $9,772.37 | $15,488.17 | $36,307.81 |
Health Partners Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $4,570.88 Typical High $20,892.96 | Facility | None | $1,949.84 | $4,570.88 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $22,387.21 | Professional | None | $1,778.28 | $3,019.95 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $5,495.41 | Facility | None | $2,187.76 | $2,187.76 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,344.23 | $4,073.80 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | 52 · Reduced service | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 53 · Discontinued | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 55 · Aftercare only | $562.34 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 56 · Pre-op care only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,819.70 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $741.31 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $562.34 Typical High $562.34 | Professional | 55 · Aftercare only | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $363.08 | $380.19 | $380.19 |
Where Minnesota sits
The same service costs 2.6 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· 7th of 51
$4,365
HI $4,786DE $1,820
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.