How much rates vary
Facilitymedian $4,786 · 10th to 90th $257 to $9,550Professionalmedian $3,388 · 10th to 90th $126 to $4,786
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,981.07 | $4,786.30 | $4,786.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $2,754.23 Typical High $4,365.16 | Facility | None | $251.19 | $2,754.23 | $4,365.16 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $2,454.71 | Professional | None | $102.33 | $125.89 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $7,244.36 Typical High $11,220.18 | Facility | None | $4,570.88 | $7,244.36 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,388.44 | $3,801.89 |
Health Partners Setting Facility Modifier None Typical Low $4,073.80 Median $6,456.54 Typical High $10,964.78 | Facility | None | $4,073.80 | $6,456.54 | $10,964.78 |
Health Partners Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $8,128.31 | Facility | None | $2,951.21 | $2,951.21 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $16,982.44 | Professional | None | $4,168.69 | $4,168.69 | $16,982.44 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,165.95 | Professional | None | $4,168.69 | $4,168.69 | $6,165.95 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | 52 · Reduced service | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 53 · Discontinued | $954.99 | $954.99 | $954.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 55 · Aftercare only | $724.44 | $724.44 | $724.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 56 · Pre-op care only | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,995.26 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,995.26 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $794.33 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $398.11 | $478.63 | $478.63 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $1,819.70 Typical High $3,019.95 | Professional | 54 · Surgery only | $125.89 | $1,819.70 | $3,019.95 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska than in South 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· 43rd of 51
$3,802
AK $6,457SC $2,951
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.