How much rates vary
Facilitymedian $10,965 · 10th to 90th $8,710 to $44,668Professionalmedian $9,550 · 10th to 90th $4,571 to $15,136
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $8,317.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,317.64 | $8,709.64 | $8,709.64 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10,471.29 Median $12,589.25 Typical High $19,054.61 | Facility | None | $10,471.29 | $12,589.25 | $19,054.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8,511.38 Median $10,471.29 Typical High $10,471.29 | Professional | None | $8,511.38 | $10,471.29 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $35,481.34 Typical High $89,125.09 | Facility | None | $5,623.41 | $35,481.34 | $89,125.09 |
Cigna Setting Professional Modifier None Typical Low $12,022.64 Median $12,589.25 Typical High $15,135.61 | Professional | None | $12,022.64 | $12,589.25 | $15,135.61 |
Health Partners Setting Facility Modifier None Typical Low $22,387.21 Median $35,481.34 Typical High $85,113.80 | Facility | None | $22,387.21 | $35,481.34 | $85,113.80 |
Health Partners Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Medica Setting Facility Modifier None Typical Low $6,918.31 Median $10,964.78 Typical High $44,668.36 | Facility | None | $6,918.31 | $10,964.78 | $44,668.36 |
Medica Setting Professional Modifier None Typical Low $4,073.80 Median $6,918.31 Typical High $51,286.14 | Professional | None | $4,073.80 | $6,918.31 | $51,286.14 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $9,332.54 | Professional | None | $3,467.37 | $5,370.32 | $9,332.54 |
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | 52 · Reduced service | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 53 · Discontinued | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | 55 · Aftercare only | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | 56 · Pre-op care only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,168.69 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,659.59 Median $1,737.80 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,659.59 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,230.27 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | 56 · Pre-op care only | $831.76 | $870.96 | $870.96 |
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
$9,772
MT $10,715NY $4,169
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.