How much rates vary
Facilitymedian $4,074 · 10th to 90th $3,467 to $18,197Professionalmedian $3,802 · 10th to 90th $1,698 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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,019.95 | $3,467.37 | $3,467.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,715.35 Median $4,073.80 Typical High $6,309.57 | Facility | None | $3,715.35 | $4,073.80 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,388.44 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $14,125.38 Typical High $35,481.34 | Facility | None | $2,137.96 | $14,125.38 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $6,025.60 | Professional | None | $4,786.30 | $5,011.87 | $6,025.60 |
Health Partners Setting Facility Modifier None Typical Low $8,912.51 Median $14,125.38 Typical High $33,884.42 | Facility | None | $8,912.51 | $14,125.38 | $33,884.42 |
Health Partners Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $18,197.01 | Facility | None | $1,548.82 | $4,073.80 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $7,413.10 | Professional | None | $1,621.81 | $2,570.40 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,949.84 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,041.74 | $3,630.78 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,548.82 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $630.96 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $316.23 | $346.74 | $346.74 |
Where Minnesota sits
The same service costs 2.6 times more in Wisconsin 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· 4th of 51
$3,981
WI $4,074DE $1,585
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.