How much rates vary
Facilitymedian $10,715 · 10th to 90th $8,128 to $47,863Professionalmedian $10,000 · 10th to 90th $4,571 to $15,488
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 $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $7,762.47 Median $9,120.11 Typical High $9,120.11 | Professional | None | $7,762.47 | $9,120.11 | $9,120.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9,772.37 Median $10,715.19 Typical High $16,595.87 | Facility | None | $9,772.37 | $10,715.19 | $16,595.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8,912.51 Median $10,964.78 Typical High $10,964.78 | Professional | None | $8,912.51 | $10,964.78 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $36,307.81 Typical High $93,325.43 | Facility | None | $7,244.36 | $36,307.81 | $93,325.43 |
Cigna Setting Professional Modifier None Typical Low $12,589.25 Median $13,182.57 Typical High $15,848.93 | Professional | None | $12,589.25 | $13,182.57 | $15,848.93 |
Health Partners Setting Facility Modifier None Typical Low $23,442.29 Median $37,153.52 Typical High $89,125.09 | Facility | None | $23,442.29 | $37,153.52 | $89,125.09 |
Health Partners Setting Professional Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | None | $12,589.25 | $12,589.25 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $10,715.19 Typical High $47,863.01 | Facility | None | $3,981.07 | $10,715.19 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $52,480.75 | Professional | None | $4,168.69 | $6,918.31 | $52,480.75 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $9,332.54 | Professional | None | $3,630.78 | $5,370.32 | $9,332.54 |
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | 52 · Reduced service | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 53 · Discontinued | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 55 · Aftercare only | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 56 · Pre-op care only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,890.45 Median $4,570.88 Typical High $4,570.88 | Professional | 52 · Reduced service | $3,890.45 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,548.82 Median $1,819.70 Typical High $1,819.70 | Professional | 53 · Discontinued | $1,548.82 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,148.15 Median $1,348.96 Typical High $1,348.96 | Professional | 55 · Aftercare only | $1,148.15 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | 56 · Pre-op care only | $776.25 | $912.01 | $912.01 |
Where Minnesota sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$10,471
HI $11,220NJ $5,248
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.