How much rates vary
Facilitymedian $10,000 · 10th to 90th $7,413 to $42,658Professionalmedian $9,333 · 10th to 90th $4,074 to $14,791
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 $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $7,244.36 Median $8,511.38 Typical High $8,511.38 | Professional | None | $7,244.36 | $8,511.38 | $8,511.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,120.11 Median $10,000.00 Typical High $15,488.17 | Facility | None | $9,120.11 | $10,000.00 | $15,488.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8,317.64 Median $10,232.93 Typical High $10,232.93 | Professional | None | $8,317.64 | $10,232.93 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $34,673.69 Typical High $87,096.36 | Facility | None | $6,606.93 | $34,673.69 | $87,096.36 |
Cigna Setting Professional Modifier None Typical Low $11,748.98 Median $12,302.69 Typical High $14,791.08 | Professional | None | $11,748.98 | $12,302.69 | $14,791.08 |
Health Partners Setting Facility Modifier None Typical Low $21,877.62 Median $34,673.69 Typical High $83,176.38 | Facility | None | $21,877.62 | $34,673.69 | $83,176.38 |
Health Partners Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | None | $11,748.98 | $11,748.98 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $3,801.89 Median $10,000.00 Typical High $42,657.95 | Facility | None | $3,801.89 | $10,000.00 | $42,657.95 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $48,977.88 | Professional | None | $3,890.45 | $6,025.60 | $48,977.88 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $10,964.78 | Facility | None | $3,801.89 | $4,466.84 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $8,709.64 | Professional | None | $3,162.28 | $5,011.87 | $8,709.64 |
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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | 52 · Reduced service | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | 53 · Discontinued | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | 55 · Aftercare only | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | 56 · Pre-op care only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,548.13 Median $4,265.80 Typical High $4,265.80 | Professional | 52 · Reduced service | $3,548.13 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,445.44 Median $1,698.24 Typical High $1,698.24 | Professional | 53 · Discontinued | $1,445.44 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Professional | 55 · Aftercare only | $1,071.52 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 56 · Pre-op care only | $724.44 | $851.14 | $851.14 |
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· 4th of 51
$9,772
MT $10,000PA $4,786
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.