How much rates vary
Facilitymedian $12,589 · 10th to 90th $8,710 to $54,954Professionalmedian $11,482 · 10th to 90th $5,248 to $18,197
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 $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $10,232.93 Median $10,471.29 Typical High $10,471.29 | Professional | None | $10,232.93 | $10,471.29 | $10,471.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11,481.54 Median $12,589.25 Typical High $19,054.61 | Facility | None | $11,481.54 | $12,589.25 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $12,882.50 | Professional | None | $10,232.93 | $12,882.50 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $42,657.95 Typical High $109,647.82 | Facility | None | $8,128.31 | $42,657.95 | $109,647.82 |
Cigna Setting Professional Modifier None Typical Low $14,454.40 Median $15,488.17 Typical High $18,620.87 | Professional | None | $14,454.40 | $15,488.17 | $18,620.87 |
Health Partners Setting Facility Modifier None Typical Low $27,542.29 Median $43,651.58 Typical High $102,329.30 | Facility | None | $27,542.29 | $43,651.58 | $102,329.30 |
Health Partners Setting Professional Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Professional | None | $14,454.40 | $14,454.40 | $14,454.40 |
Medica Setting Facility Modifier None Typical Low $5,011.87 Median $12,589.25 Typical High $54,954.09 | Facility | None | $5,011.87 | $12,589.25 | $54,954.09 |
Medica Setting Professional Modifier None Typical Low $5,011.87 Median $7,943.28 Typical High $69,183.10 | Professional | None | $5,011.87 | $7,943.28 | $69,183.10 |
United Setting Facility Modifier None Typical Low $4,466.84 Median $5,248.07 Typical High $14,454.40 | Facility | None | $4,466.84 | $5,248.07 | $14,454.40 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $6,456.54 Typical High $11,220.18 | Professional | None | $4,073.80 | $6,456.54 | $11,220.18 |
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | 52 · Reduced service | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | 53 · Discontinued | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | 55 · Aftercare only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 56 · Pre-op care only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5,128.61 Median $5,248.07 Typical High $5,248.07 | Professional | 52 · Reduced service | $5,128.61 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,041.74 Median $2,089.30 Typical High $2,089.30 | Professional | 53 · Discontinued | $2,041.74 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,548.82 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $1,023.29 | $1,047.13 | $1,047.13 |
Where Minnesota sits
The same service costs 2.5 times more in Montana than in West Virginia. 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
$12,303
MT $14,454WV $5,888
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.