How much rates vary
Facilitymedian $2,884 · 10th to 90th $2,089 to $6,310Professionalmedian $1,995 · 10th to 90th $1,585 to $2,692
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 $2,089.30 Median $2,818.38 Typical High $6,309.57 | Facility | None | $2,089.30 | $2,818.38 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,089.30 | $2,290.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,949.84 Median $3,890.45 Typical High $4,073.80 | Facility | None | $1,949.84 | $3,890.45 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,584.89 | $1,778.28 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $5,370.32 Typical High $7,413.10 | Facility | None | $2,630.27 | $5,370.32 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,344.23 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $5,128.61 Typical High $7,585.78 | Facility | None | $2,089.30 | $5,128.61 | $7,585.78 |
Health Partners Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $4,677.35 | Facility | None | $1,995.26 | $3,311.31 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,995.26 | $1,995.26 | $3,548.13 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,715.35 | Professional | None | $1,995.26 | $1,995.26 | $3,715.35 |
8 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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 53 · Discontinued | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $213.80 |
Where Minnesota sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 18th of 51
$2,138
AK $3,548OK $1,778
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.