How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,820 to $11,749Professionalmedian $2,455 · 10th to 90th $1,122 to $3,890
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,290.87 | $2,290.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $4,168.69 | Facility | None | $2,454.71 | $2,691.53 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $9,120.11 Typical High $23,442.29 | Facility | None | $1,737.80 | $9,120.11 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $3,981.07 | Professional | None | $3,162.28 | $3,311.31 | $3,981.07 |
Health Partners Setting Facility Modifier None Typical Low $5,888.44 Median $9,332.54 Typical High $21,877.62 | Facility | None | $5,888.44 | $9,332.54 | $21,877.62 |
Health Partners Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,691.53 Typical High $11,748.98 | Facility | None | $1,122.02 | $2,691.53 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $12,882.50 | Professional | None | $1,023.29 | $1,698.24 | $12,882.50 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,090.30 | Facility | None | $977.24 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $2,344.23 | Professional | None | $891.25 | $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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $323.59 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $213.80 | $229.09 | $229.09 |
Where Minnesota sits
The same service costs 2.1 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· 3rd of 51
$2,630
MT $2,692PA $1,259
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.