How much rates vary
Facilitymedian $3,981 · 10th to 90th $3,236 to $17,378Professionalmedian $3,631 · 10th to 90th $1,622 to $5,754
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,090.30 | $3,311.31 | $3,311.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,548.13 Median $3,981.07 Typical High $6,025.60 | Facility | None | $3,548.13 | $3,981.07 | $6,025.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,235.94 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,235.94 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $13,489.63 Typical High $33,884.42 | Facility | None | $2,691.53 | $13,489.63 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $5,754.40 | Professional | None | $4,570.88 | $4,897.79 | $5,754.40 |
Health Partners Setting Facility Modifier None Typical Low $8,511.38 Median $13,803.84 Typical High $32,359.37 | Facility | None | $8,511.38 | $13,803.84 | $32,359.37 |
Health Partners Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $17,378.01 | Facility | None | $1,659.59 | $3,981.07 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $20,892.96 | Professional | None | $1,445.44 | $2,454.71 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $4,466.84 | Facility | None | $1,862.09 | $2,187.76 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,288.25 | $1,949.84 | $3,467.37 |
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 52 · Reduced service | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | 53 · Discontinued | $660.69 | $660.69 | $660.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 55 · Aftercare only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 56 · Pre-op care only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,548.82 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $616.60 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $467.74 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $309.03 | $331.13 | $331.13 |
Where Minnesota sits
The same service costs 2.9 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· 5th of 51
$3,802
HI $5,012DC $1,738
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.