How much rates vary
Facilitymedian $19,498 · 10th to 90th $14,791 to $89,125Professionalmedian $17,783 · 10th to 90th $8,710 to $28,840
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 $16,218.10 Median $16,218.10 Typical High $16,218.10 | Facility | None | $16,218.10 | $16,218.10 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $15,488.17 Median $16,218.10 Typical High $16,218.10 | Professional | None | $15,488.17 | $16,218.10 | $16,218.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17,378.01 Median $19,498.45 Typical High $29,512.09 | Facility | None | $17,378.01 | $19,498.45 | $29,512.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $15,848.93 Median $19,952.62 Typical High $19,952.62 | Professional | None | $15,848.93 | $19,952.62 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $66,069.34 Typical High $169,824.37 | Facility | None | $12,589.25 | $66,069.34 | $169,824.37 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $23,988.33 Typical High $28,840.32 | Professional | None | $22,387.21 | $23,988.33 | $28,840.32 |
Health Partners Setting Facility Modifier None Typical Low $42,657.95 Median $67,608.30 Typical High $158,489.32 | Facility | None | $42,657.95 | $67,608.30 | $158,489.32 |
Health Partners Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $22,387.21 | Professional | None | $22,387.21 | $22,387.21 | $22,387.21 |
Medica Setting Facility Modifier None Typical Low $10,000.00 Median $19,952.62 Typical High $91,201.08 | Facility | None | $10,000.00 | $19,952.62 | $91,201.08 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $13,182.57 Typical High $114,815.36 | Professional | None | $7,762.47 | $13,182.57 | $114,815.36 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $6,456.54 Median $10,232.93 Typical High $17,782.79 | Professional | None | $6,456.54 | $10,232.93 | $17,782.79 |
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 $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | 52 · Reduced service | $8,128.31 | $8,128.31 | $8,128.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | 53 · Discontinued | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | 55 · Aftercare only | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | 56 · Pre-op care only | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | 52 · Reduced service | $8,128.31 | $8,128.31 | $8,128.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | 53 · Discontinued | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 55 · Aftercare only | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 56 · Pre-op care only | $1,621.81 | $1,621.81 | $1,621.81 |
Where Minnesota sits
The same service costs 2.5 times more in Montana than in Florida. 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· 7th of 51
$19,055
MT $22,387FL $9,120
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.