How much rates vary
Facilitymedian $2,818 · 10th to 90th $2,239 to $11,482Professionalmedian $2,455 · 10th to 90th $1,175 to $3,890
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,137.96 | $2,238.72 | $2,238.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $4,897.79 | Facility | None | $2,691.53 | $3,235.94 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,187.76 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,479.11 | $9,120.11 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,235.94 | $3,890.45 |
Health Partners Setting Facility Modifier None Typical Low $5,754.40 Median $9,120.11 Typical High $21,877.62 | Facility | None | $5,754.40 | $9,120.11 | $21,877.62 |
Health Partners 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 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $11,481.54 | Facility | None | $1,122.02 | $2,630.27 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $13,182.57 | Professional | None | $1,047.13 | $1,778.28 | $13,182.57 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,398.83 | Professional | None | $891.25 | $1,380.38 | $2,398.83 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 53 · Discontinued | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 55 · Aftercare only | $331.13 | $331.13 | $331.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $426.58 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $323.59 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $213.80 | $223.87 | $223.87 |
Where Minnesota sits
The same service costs 2.6 times more in Montana than in New York. 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
$2,570
MT $2,754NY $1,072
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.