How much rates vary
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $331.13 | Professional | None | $316.23 | $331.13 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $812.83 Median $1,584.89 Typical High $2,630.27 | Facility | None | $812.83 | $1,584.89 | $2,630.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $3,715.35 | Professional | None | $162.18 | $407.38 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $125.89 | Facility | None | $42.66 | $66.07 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $35.48 | Professional | None | $28.18 | $30.20 | $35.48 |
Health Partners Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $104.71 | Facility | None | $37.15 | $60.26 | $104.71 |
Health Partners Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $776.25 Typical High $2,630.27 | Facility | None | $54.95 | $776.25 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $4,466.84 | Professional | None | $169.82 | $316.23 | $4,466.84 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $630.96 | Professional | None | $169.82 | $316.23 | $630.96 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $158.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $31.62 | $33.11 | $33.11 |
Where Minnesota sits
The same service costs 24.5 times more in Texas than in Missouri. 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· 37th of 51
$245
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.