How much rates vary
Facilitymedian $5,495 · 10th to 90th $4,074 to $23,988Professionalmedian $5,012 · 10th to 90th $2,291 to $8,128
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,365.16 | $4,570.88 | $4,570.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,897.79 Median $5,495.41 Typical High $8,317.64 | Facility | None | $4,897.79 | $5,495.41 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,466.84 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $18,620.87 Typical High $46,773.51 | Facility | None | $3,548.13 | $18,620.87 | $46,773.51 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $6,760.83 Typical High $8,128.31 | Professional | None | $6,309.57 | $6,760.83 | $8,128.31 |
Health Partners Setting Facility Modifier None Typical Low $12,022.64 Median $19,054.61 Typical High $44,668.36 | Facility | None | $12,022.64 | $19,054.61 | $44,668.36 |
Health Partners Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $5,495.41 Typical High $23,988.33 | Facility | None | $1,949.84 | $5,495.41 | $23,988.33 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $30,199.52 | Professional | None | $2,187.76 | $3,467.37 | $30,199.52 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,890.45 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,778.28 | $2,818.38 | $4,897.79 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 53 · Discontinued | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | 55 · Aftercare only | $691.83 | $691.83 | $691.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 56 · Pre-op care only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,187.76 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $2,187.76 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $891.25 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $660.69 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $436.52 | $457.09 | $457.09 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$5,248
HI $7,413PA $2,455
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.