How much rates vary
Facilitymedian $4,571 · 10th to 90th $3,090 to $20,893Professionalmedian $4,266 · 10th to 90th $2,239 to $6,761
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,890.45 | $3,890.45 | $4,265.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,168.69 Median $4,570.88 Typical High $7,079.46 | Facility | None | $4,168.69 | $4,570.88 | $7,079.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,715.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $15,488.17 Typical High $39,810.72 | Facility | None | $2,754.23 | $15,488.17 | $39,810.72 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $6,760.83 | Professional | None | $5,370.32 | $5,623.41 | $6,760.83 |
Health Partners Setting Facility Modifier None Typical Low $10,000.00 Median $15,848.93 Typical High $37,153.52 | Facility | None | $10,000.00 | $15,848.93 | $37,153.52 |
Health Partners Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,570.88 Typical High $23,442.29 | Facility | None | $2,041.74 | $4,570.88 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $29,512.09 | Professional | None | $1,819.70 | $3,311.31 | $29,512.09 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,511.89 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $4,677.35 | Professional | None | $1,513.56 | $2,630.27 | $4,677.35 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | 52 · Reduced service | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $1,905.46 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | 53 · Discontinued | $776.25 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $645.65 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $436.52 |
Where Minnesota sits
The same service costs 2.8 times more in Wyoming 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
$4,571
WY $5,754DE $2,042
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.