How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,905 to $11,749Professionalmedian $2,344 · 10th to 90th $1,148 to $3,802
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,041.74 | $2,187.76 | $2,187.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,890.45 | Facility | None | $2,344.23 | $2,570.40 | $3,890.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $8,709.64 Typical High $22,387.21 | Facility | None | $1,659.59 | $8,709.64 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $3,801.89 | Professional | None | $2,951.21 | $3,162.28 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $5,623.41 Median $8,912.51 Typical High $20,892.96 | Facility | None | $5,623.41 | $8,912.51 | $20,892.96 |
Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $12,022.64 | Facility | None | $1,000.00 | $2,570.40 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $14,791.08 | Professional | None | $1,023.29 | $1,737.80 | $14,791.08 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $3,090.30 | Facility | None | $977.24 | $1,258.93 | $3,090.30 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,348.96 Typical High $2,344.23 | Professional | None | $851.14 | $1,348.96 | $2,344.23 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $407.38 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $302.00 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $204.17 | $218.78 | $218.78 |
Where Minnesota sits
The same service costs 2.4 times more in Hawaii than in Vermont. 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· 8th of 51
$2,512
HI $2,884VT $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.