How much rates vary
Facilitymedian $813 · 10th to 90th $407 to $1,479Professionalmedian $331 · 10th to 90th $204 to $1,479
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,479.11 | $1,479.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $223.87 Median $1,737.80 Typical High $4,168.69 | Facility | None | $223.87 | $1,737.80 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None | $181.97 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,096.48 | Facility | None | $446.68 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $380.19 | Professional | None | $302.00 | $331.13 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,071.52 | Facility | None | $398.11 | $645.65 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $2,511.89 | Facility | None | $288.40 | $288.40 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $5,623.41 | Professional | None | $1,258.93 | $1,258.93 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,258.93 | $1,819.70 |
9 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 $741.31 Median $741.31 Typical High $741.31 | Facility | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $616.60 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $123.03 | $147.91 | $147.91 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $173.78 Typical High $281.84 | Professional | 54 · Surgery only | $117.49 | $173.78 | $281.84 |
Where Minnesota sits
The same service costs 6.9 times more in Alaska than in Kentucky. 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· 49th of 51
$380
AK $1,995KY $288
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.