How much rates vary
Facilitymedian $10,715 · 10th to 90th $7,943 to $48,978Professionalmedian $9,772 · 10th to 90th $4,677 to $15,849
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 $7,943.28 Median $9,120.11 Typical High $9,120.11 | Professional | None | $7,943.28 | $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 $8,709.64 Median $10,964.78 Typical High $10,964.78 | Professional | None | $8,709.64 | $10,964.78 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $36,307.81 Typical High $93,325.43 | Facility | None | $7,585.78 | $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 $87,096.36 | Facility | None | $23,442.29 | $37,153.52 | $87,096.36 |
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 $4,466.84 Median $10,715.19 Typical High $48,977.88 | Facility | None | $4,466.84 | $10,715.19 | $48,977.88 |
Medica Setting Professional Modifier None Typical Low $4,265.80 Median $7,079.46 Typical High $54,954.09 | Professional | None | $4,265.80 | $7,079.46 | $54,954.09 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $12,882.50 | Facility | None | $4,265.80 | $4,786.30 | $12,882.50 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,495.41 Typical High $9,549.93 | Professional | None | $3,548.13 | $5,495.41 | $9,549.93 |
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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 52 · Reduced service | $4,466.84 | $4,466.84 | $4,466.84 |
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 $4,265.80 Median $4,466.84 Typical High $4,466.84 | Professional | 52 · Reduced service | $4,265.80 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,819.70 Typical High $1,819.70 | Professional | 53 · Discontinued | $1,698.24 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | 55 · Aftercare only | $1,258.93 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $912.01 Typical High $912.01 | Professional | 56 · Pre-op care only | $851.14 | $912.01 | $912.01 |
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· 5th of 51
$10,471
MT $11,220PA $5,370
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.