How much rates vary
Facilitymedian $46,774 · 10th to 90th $39,811 to $204,174Professionalmedian $42,658 · 10th to 90th $19,498 to $67,608
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 $39,810.72 Median $39,810.72 Typical High $39,810.72 | Facility | None | $39,810.72 | $39,810.72 | $39,810.72 |
Aetna Setting Professional Modifier None Typical Low $33,884.42 Median $39,810.72 Typical High $39,810.72 | Professional | None | $33,884.42 | $39,810.72 | $39,810.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $42,657.95 Median $46,773.51 Typical High $72,443.60 | Facility | None | $42,657.95 | $46,773.51 | $72,443.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38,018.94 Median $47,863.01 Typical High $47,863.01 | Professional | None | $38,018.94 | $47,863.01 | $47,863.01 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $158,489.32 Typical High $407,380.28 | Facility | None | $30,199.52 | $158,489.32 | $407,380.28 |
Cigna Setting Professional Modifier None Typical Low $54,954.09 Median $57,543.99 Typical High $69,183.10 | Professional | None | $54,954.09 | $57,543.99 | $69,183.10 |
Health Partners Setting Facility Modifier None Typical Low $102,329.30 Median $162,181.01 Typical High $380,189.40 | Facility | None | $102,329.30 | $162,181.01 | $380,189.40 |
Health Partners Setting Professional Modifier None Typical Low $54,954.09 Median $54,954.09 Typical High $54,954.09 | Professional | None | $54,954.09 | $54,954.09 | $54,954.09 |
Medica Setting Facility Modifier None Typical Low $20,892.96 Median $46,773.51 Typical High $204,173.79 | Facility | None | $20,892.96 | $46,773.51 | $204,173.79 |
Medica Setting Professional Modifier None Typical Low $16,982.44 Median $29,512.09 Typical High $245,470.89 | Professional | None | $16,982.44 | $29,512.09 | $245,470.89 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $53,703.18 Typical High $64,565.42 | Facility | None | $45,708.82 | $53,703.18 | $64,565.42 |
United Setting Professional Modifier None Typical Low $15,488.17 Median $23,442.29 Typical High $40,738.03 | Professional | None | $15,488.17 | $23,442.29 | $40,738.03 |
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 $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | 52 · Reduced service | $19,952.62 | $19,952.62 | $19,952.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | 53 · Discontinued | $7,943.28 | $7,943.28 | $7,943.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | 55 · Aftercare only | $5,888.44 | $5,888.44 | $5,888.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | 56 · Pre-op care only | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19,498.45 Median $19,952.62 Typical High $19,952.62 | Professional | 52 · Reduced service | $19,498.45 | $19,952.62 | $19,952.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7,762.47 Median $7,943.28 Typical High $7,943.28 | Professional | 53 · Discontinued | $7,762.47 | $7,943.28 | $7,943.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5,754.40 Median $5,888.44 Typical High $5,888.44 | Professional | 55 · Aftercare only | $5,754.40 | $5,888.44 | $5,888.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | 56 · Pre-op care only | $3,890.45 | $3,981.07 | $3,981.07 |
Where Minnesota sits
The same service costs 2.1 times more in Hawaii 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· 3rd of 51
$45,709
HI $47,863NJ $22,387
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.