How much rates vary
Facilitymedian $2,399 · 10th to 90th $2,042 to $10,965Professionalmedian $2,239 · 10th to 90th $1,047 to $3,548
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,862.09 | $2,041.74 | $2,041.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,715.35 | Facility | None | $2,187.76 | $2,398.83 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $20,892.96 | Facility | None | $1,348.96 | $8,128.31 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,548.13 | Professional | None | $2,818.38 | $2,951.21 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $5,248.07 Median $8,317.64 Typical High $19,498.45 | Facility | None | $5,248.07 | $8,317.64 | $19,498.45 |
Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,454.71 Typical High $11,220.18 | Facility | None | $1,047.13 | $2,454.71 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,621.81 Typical High $12,022.64 | Professional | None | $954.99 | $1,621.81 | $12,022.64 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,511.89 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,187.76 | Professional | None | $794.33 | $1,258.93 | $2,187.76 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $977.24 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $199.53 | $204.17 | $204.17 |
Where Minnesota sits
The same service costs 2.6 times more in Montana 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
$2,399
MT $2,512DE $977
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.