How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,380 to $8,511Professionalmedian $1,862 · 10th to 90th $832 to $3,020
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,737.80 | $1,737.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,041.74 | $3,162.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,659.59 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $6,918.31 Typical High $17,782.79 | Facility | None | $1,318.26 | $6,918.31 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,398.83 | $2,511.89 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $4,466.84 Median $7,079.46 Typical High $16,595.87 | Facility | None | $4,466.84 | $7,079.46 | $16,595.87 |
Health Partners Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $2,041.74 Typical High $8,511.38 | Facility | None | $794.33 | $2,041.74 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $10,964.78 | Professional | None | $812.83 | $1,230.27 | $10,964.78 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,238.72 | Facility | None | $645.65 | $831.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,778.28 | Professional | None | $645.65 | $1,047.13 | $1,778.28 |
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 $851.14 Median $851.14 Typical High $851.14 | Facility | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $794.33 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $239.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $158.49 | $173.78 | $173.78 |
Where Minnesota sits
The same service costs 2.5 times more in Montana 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· 5th of 51
$1,995
MT $2,239PA $891
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.