How much rates vary
Facilitymedian $2,951 · 10th to 90th $2,239 to $12,882Professionalmedian $2,692 · 10th to 90th $1,202 to $4,365
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,454.71 | $2,454.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $4,466.84 | Facility | None | $2,691.53 | $2,951.21 | $4,466.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,398.83 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $10,000.00 Typical High $25,703.96 | Facility | None | $1,513.56 | $10,000.00 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,630.78 | $4,365.16 |
Health Partners Setting Facility Modifier None Typical Low $6,456.54 Median $10,232.93 Typical High $23,988.33 | Facility | None | $6,456.54 | $10,232.93 | $23,988.33 |
Health Partners Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $12,882.50 | Facility | None | $1,148.15 | $2,951.21 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $15,848.93 | Professional | None | $1,023.29 | $1,819.70 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,659.59 | $3,311.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $2,570.40 | Professional | None | $954.99 | $1,479.11 | $2,570.40 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,096.48 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $323.59 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $218.78 | $245.47 | $245.47 |
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
$2,884
HI $3,890DE $1,202
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.