How much rates vary
Facilitymedian $18,197 · 10th to 90th $14,125 to $83,176Professionalmedian $16,596 · 10th to 90th $8,511 to $26,303
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 $15,135.61 Median $15,135.61 Typical High $15,135.61 | Facility | None | $15,135.61 | $15,135.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16,218.10 Median $18,197.01 Typical High $27,542.29 | Facility | None | $16,218.10 | $18,197.01 | $27,542.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14,791.08 Median $18,620.87 Typical High $18,620.87 | Professional | None | $14,791.08 | $18,620.87 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $61,659.50 Typical High $158,489.32 | Facility | None | $11,748.98 | $61,659.50 | $158,489.32 |
Cigna Setting Professional Modifier None Typical Low $20,892.96 Median $22,387.21 Typical High $26,915.35 | Professional | None | $20,892.96 | $22,387.21 | $26,915.35 |
Health Partners Setting Facility Modifier None Typical Low $39,810.72 Median $63,095.73 Typical High $147,910.84 | Facility | None | $39,810.72 | $63,095.73 | $147,910.84 |
Health Partners Setting Professional Modifier None Typical Low $20,892.96 Median $20,892.96 Typical High $20,892.96 | Professional | None | $20,892.96 | $20,892.96 | $20,892.96 |
Medica Setting Facility Modifier None Typical Low $9,772.37 Median $19,054.61 Typical High $87,096.36 | Facility | None | $9,772.37 | $19,054.61 | $87,096.36 |
Medica Setting Professional Modifier None Typical Low $7,244.36 Median $12,882.50 Typical High $112,201.85 | Professional | None | $7,244.36 | $12,882.50 | $112,201.85 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $22,908.68 | Facility | None | $7,585.78 | $8,912.51 | $22,908.68 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $10,000.00 Typical High $17,378.01 | Professional | None | $6,025.60 | $10,000.00 | $17,378.01 |
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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | 52 · Reduced service | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | 53 · Discontinued | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 55 · Aftercare only | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 56 · Pre-op care only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | 52 · Reduced service | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 53 · Discontinued | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 55 · Aftercare only | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 56 · Pre-op care only | $1,513.56 | $1,513.56 | $1,513.56 |
Where Minnesota sits
The same service costs 2.6 times more in Montana 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· 8th of 51
$18,197
MT $21,878NJ $8,511
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.