How much rates vary
Facilitymedian $575,440 · 10th to 90th $512,861 to $1,445,440Professionalmedian $562,341 · 10th to 90th $478,630 to $691,831
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 $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $602,559.59 | Professional | None | $575,439.94 | $575,439.94 | $602,559.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $501,187.23 Median $549,540.87 Typical High $602,559.59 | Facility | None | $501,187.23 | $549,540.87 | $602,559.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $446,683.59 Median $501,187.23 Typical High $562,341.33 | Professional | None | $446,683.59 | $501,187.23 | $562,341.33 |
Cigna Setting Facility Modifier None Typical Low $691,830.97 Median $1,445,439.77 Typical High $1,905,460.72 | Facility | None | $691,830.97 | $1,445,439.77 | $1,905,460.72 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $602,559.59 Typical High $691,830.97 | Professional | None | $549,540.87 | $602,559.59 | $691,830.97 |
Health Partners Setting Facility Modifier None Typical Low $537,031.80 Median $1,318,256.74 Typical High $1,995,262.31 | Facility | None | $537,031.80 | $1,318,256.74 | $1,995,262.31 |
Health Partners Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $549,540.87 | Professional | None | $549,540.87 | $549,540.87 | $549,540.87 |
Medica Setting Facility Modifier None Typical Low $537,031.80 Median $794,328.23 Typical High $1,348,962.88 | Facility | None | $537,031.80 | $794,328.23 | $1,348,962.88 |
Medica Setting Professional Modifier None Typical Low $977,237.22 Median $977,237.22 Typical High $977,237.22 | Professional | None | $977,237.22 | $977,237.22 | $977,237.22 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $602,559.59 | Professional | None | $562,341.33 | $562,341.33 | $602,559.59 |
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 $288,403.15 Median $288,403.15 Typical High $288,403.15 | Facility | 52 · Reduced service | $288,403.15 | $288,403.15 | $288,403.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $114,815.36 | Facility | 53 · Discontinued | $114,815.36 | $114,815.36 | $114,815.36 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Facility | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $57,543.99 | Facility | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $57,543.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $120,226.44 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $89,125.09 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $60,255.96 |
Where Minnesota sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 51st of 51
$562,341
TX $977,237MN $562,341
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.