How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,754 to $15,136Professionalmedian $3,311 · 10th to 90th $1,445 to $5,248
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,754.23 | $3,019.95 | $3,019.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $5,495.41 | Facility | None | $3,311.31 | $3,630.78 | $5,495.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $12,302.69 Typical High $31,622.78 | Facility | None | $1,778.28 | $12,302.69 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $5,370.32 | Professional | None | $4,168.69 | $4,466.84 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $7,943.28 Median $12,589.25 Typical High $29,512.09 | Facility | None | $7,943.28 | $12,589.25 | $29,512.09 |
Health Partners Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $15,135.61 | Facility | None | $1,445.44 | $3,630.78 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $17,782.79 | Professional | None | $1,258.93 | $2,137.96 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,819.70 | $3,090.30 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 53 · Discontinued | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 55 · Aftercare only | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 56 · Pre-op care only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,380.38 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $549.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $416.87 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $275.42 | $302.00 | $302.00 |
Where Minnesota sits
The same service costs 3.2 times more in Hawaii 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
$3,548
HI $4,169DE $1,288
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.