How much rates vary
Facilitymedian $2,399 · 10th to 90th $257 to $5,754Professionalmedian $1,514 · 10th to 90th $148 to $2,291
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,479.11 | $1,513.56 | $1,513.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $1,659.59 Typical High $2,570.40 | Facility | None | $251.19 | $1,659.59 | $2,570.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $1,318.26 | Professional | None | $181.97 | $213.80 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $6,760.83 | Facility | None | $2,691.53 | $4,365.16 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,819.70 | $1,862.09 | $2,290.87 |
Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,606.93 | Facility | None | $2,398.83 | $3,890.45 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,235.94 | Facility | None | $1,737.80 | $1,737.80 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $6,918.31 | Professional | None | $1,659.59 | $1,737.80 | $6,918.31 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
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 $758.58 Median $758.58 Typical High $758.58 | Facility | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
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 $229.09 Median $229.09 Typical High $229.09 | Facility | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $741.31 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $147.91 | $151.36 | $151.36 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $177.83 | $295.12 |
Where Minnesota sits
The same service costs 21.9 times more in Wyoming than in North Carolina. 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· 9th of 51
$1,514
WY $2,570NC $117
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.