How much rates vary
Facilitymedian $4,074 · 10th to 90th $3,388 to $18,621Professionalmedian $3,715 · 10th to 90th $1,778 to $6,026
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,162.28 | $3,388.44 | $3,388.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $6,165.95 | Facility | None | $3,630.78 | $4,073.80 | $6,165.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,311.31 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $13,803.84 Typical High $35,481.34 | Facility | None | $2,290.87 | $13,803.84 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,011.87 Typical High $6,025.60 | Professional | None | $4,677.35 | $5,011.87 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $8,912.51 Median $14,125.38 Typical High $33,113.11 | Facility | None | $8,912.51 | $14,125.38 | $33,113.11 |
Health Partners Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $4,073.80 Typical High $19,054.61 | Facility | None | $1,737.80 | $4,073.80 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $20,417.38 | Professional | None | $1,621.81 | $2,754.23 | $20,417.38 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,011.87 | Facility | None | $1,995.26 | $1,995.26 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,348.96 | $2,137.96 | $3,715.35 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 55 · Aftercare only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 56 · Pre-op care only | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,659.59 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,659.59 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $660.69 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $501.19 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $331.13 | $338.84 | $338.84 |
Where Minnesota sits
The same service costs 2.5 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· 3rd of 51
$4,074
HI $4,365DE $1,738
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.