How much rates vary
Facilitymedian $1,549 · 10th to 90th $257 to $3,162Professionalmedian $741 · 10th to 90th $148 to $1,259
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $977.24 Typical High $1,905.46 | Facility | None | $251.19 | $977.24 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $776.25 | Professional | None | $181.97 | $213.80 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $3,715.35 | Facility | None | $1,479.11 | $2,398.83 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,047.13 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,137.96 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,778.28 | Facility | None | $933.25 | $933.25 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $5,623.41 | Professional | None | $933.25 | $933.25 | $5,623.41 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $125.89 | $177.83 | $275.42 |
Where Minnesota sits
The same service costs 13.2 times more in Hawaii 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· 10th of 51
$741
HI $1,549NC $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.