How much rates vary
Facilitymedian $933 · 10th to 90th $661 to $3,981Professionalmedian $851 · 10th to 90th $380 to $1,349
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | None | $707.95 | $794.33 | $794.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $1,445.44 | Facility | None | $851.14 | $933.25 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $954.99 | Professional | None | $758.58 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,162.28 Typical High $8,128.31 | Facility | None | $660.69 | $3,162.28 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,096.48 | $1,148.15 | $1,380.38 |
Health Partners Setting Facility Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $7,585.78 | Facility | None | $2,041.74 | $3,235.94 | $7,585.78 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $3,981.07 | Facility | None | $346.74 | $933.25 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $5,495.41 | Professional | None | $371.54 | $575.44 | $5,495.41 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,023.29 | Facility | None | $501.19 | $549.54 | $1,023.29 |
United Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $812.83 | Professional | None | $295.12 | $478.63 | $812.83 |
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 $389.05 Median $389.05 Typical High $389.05 | Facility | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $109.65 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $79.43 |
Where Minnesota sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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
$912
HI $1,380KS $339
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.