How much rates vary
Facilitymedian $4,677 · 10th to 90th $3,981 to $21,380Professionalmedian $4,365 · 10th to 90th $2,042 to $6,918
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,981.07 | $3,981.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $7,244.36 | Facility | None | $4,265.80 | $4,677.35 | $7,244.36 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,801.89 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $15,848.93 Typical High $40,738.03 | Facility | None | $3,388.44 | $15,848.93 | $40,738.03 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $6,918.31 | Professional | None | $5,495.41 | $5,754.40 | $6,918.31 |
Health Partners Setting Facility Modifier None Typical Low $10,232.93 Median $16,218.10 Typical High $38,018.94 | Facility | None | $10,232.93 | $16,218.10 | $38,018.94 |
Health Partners Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $4,677.35 Typical High $21,379.62 | Facility | None | $1,412.54 | $4,677.35 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $23,988.33 | Professional | None | $1,862.09 | $3,090.30 | $23,988.33 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,495.41 | Facility | None | $2,398.83 | $2,398.83 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,398.83 | $4,168.69 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | 52 · Reduced service | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 56 · Pre-op care only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,905.46 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $575.44 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Where Minnesota sits
The same service costs 2.1 times more in Montana than in South Carolina. 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
$4,571
MT $4,898SC $2,344
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.