How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,884 to $16,596Professionalmedian $3,388 · 10th to 90th $1,698 to $5,370
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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $5,623.41 | Facility | None | $3,311.31 | $3,630.78 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,019.95 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $12,589.25 Typical High $31,622.78 | Facility | None | $2,398.83 | $12,589.25 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $5,370.32 | Professional | None | $4,265.80 | $4,466.84 | $5,370.32 |
Health Partners Setting Facility Modifier None Typical Low $7,943.28 Median $12,589.25 Typical High $30,199.52 | Facility | None | $7,943.28 | $12,589.25 | $30,199.52 |
Health Partners Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $16,982.44 | Facility | None | $1,949.84 | $3,630.78 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $22,387.21 | Professional | None | $1,412.54 | $2,570.40 | $22,387.21 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,995.26 | $3,467.37 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 52 · Reduced service | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 53 · Discontinued | $616.60 | $616.60 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 56 · Pre-op care only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $309.03 | $309.03 | $309.03 |
Where Minnesota sits
The same service costs 2.2 times more in Arkansas than in Delaware. 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
$3,631
AR $3,890DE $1,738
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.