How much rates vary
Facilitymedian $7,244 · 10th to 90th $5,754 to $33,113Professionalmedian $6,607 · 10th to 90th $3,467 to $10,715
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 $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6,606.93 Median $7,244.36 Typical High $11,220.18 | Facility | None | $6,606.93 | $7,244.36 | $11,220.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5,888.44 Median $7,413.10 Typical High $7,413.10 | Professional | None | $5,888.44 | $7,413.10 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $24,547.09 Typical High $63,095.73 | Facility | None | $4,677.35 | $24,547.09 | $63,095.73 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,912.51 Typical High $10,715.19 | Professional | None | $8,511.38 | $8,912.51 | $10,715.19 |
Health Partners Setting Facility Modifier None Typical Low $15,848.93 Median $25,118.86 Typical High $58,884.37 | Facility | None | $15,848.93 | $25,118.86 | $58,884.37 |
Health Partners Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $4,073.80 Median $7,413.10 Typical High $35,481.34 | Facility | None | $4,073.80 | $7,413.10 | $35,481.34 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $5,248.07 Typical High $46,773.51 | Professional | None | $2,884.03 | $5,248.07 | $46,773.51 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $9,549.93 | Facility | None | $2,884.03 | $3,548.13 | $9,549.93 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $7,079.46 | Professional | None | $2,398.83 | $3,981.07 | $7,079.46 |
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | 52 · Reduced service | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 53 · Discontinued | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | 55 · Aftercare only | $912.01 | $912.01 | $912.01 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 56 · Pre-op care only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $616.60 |
Where Minnesota sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$7,244
AR $8,128VT $3,467
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.