How much rates vary
Facilitymedian $3,236 · 10th to 90th $2,455 to $13,183Professionalmedian $2,951 · 10th to 90th $1,288 to $4,677
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,398.83 | $2,691.53 | $2,691.53 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $4,897.79 | Facility | None | $2,884.03 | $3,235.94 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,630.27 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $10,964.78 Typical High $27,542.29 | Facility | None | $1,778.28 | $10,964.78 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $4,677.35 | Professional | None | $3,715.35 | $3,981.07 | $4,677.35 |
Health Partners Setting Facility Modifier None Typical Low $7,079.46 Median $11,220.18 Typical High $26,302.68 | Facility | None | $7,079.46 | $11,220.18 | $26,302.68 |
Health Partners Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $3,235.94 Typical High $13,182.57 | Facility | None | $1,288.25 | $3,235.94 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,071.52 | $1,862.09 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,445.44 | $1,621.81 | $3,311.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,691.53 | Professional | None | $954.99 | $1,584.89 | $2,691.53 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,230.27 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $489.78 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $245.47 | $269.15 | $269.15 |
Where Minnesota sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$3,090
HI $3,715DC $1,318
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.