How much rates vary
Facilitymedian $1,047 · 10th to 90th $257 to $3,715Professionalmedian $537 · 10th to 90th $155 to $3,715
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,715.35 | $3,715.35 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $776.25 | Facility | None | $251.19 | $489.78 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $416.87 | Professional | None | $186.21 | $223.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,995.26 | Facility | None | $812.83 | $1,288.25 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $691.83 | Professional | None | $549.54 | $562.34 | $691.83 |
Health Partners Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,995.26 | Facility | None | $724.44 | $1,174.90 | $1,995.26 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $2,818.38 | Facility | None | $524.81 | $524.81 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $5,011.87 | Professional | None | $1,258.93 | $3,235.94 | $5,011.87 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 53 · Discontinued | $741.31 | $741.31 | $741.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | 56 · Pre-op care only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,479.11 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $588.84 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $446.68 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $371.54 Typical High $371.54 | Professional | 56 · Pre-op care only | $295.12 | $371.54 | $371.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $331.13 Typical High $537.03 | Professional | 54 · Surgery only | $125.89 | $331.13 | $537.03 |
Where Minnesota sits
The same service costs 26.9 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· 14th of 51
$537
WY $3,162NC $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.