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 $42.66 Median $91.20 Typical High $288.40 | Facility | None | $42.66 | $91.20 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $91.20 | Professional | None | $42.66 | $75.86 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,174.90 | Facility | None | $208.93 | $562.34 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $154.88 Typical High $251.19 | Professional | None | $69.18 | $154.88 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $446.68 | Facility | None | $151.36 | $234.42 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $316.23 | Professional | None | $74.13 | $151.36 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $371.54 | Facility | None | $131.83 | $213.80 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $144.54 Typical High $302.00 | Professional | None | $70.79 | $144.54 | $302.00 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $199.53 Typical High $1,148.15 | Facility | None | $74.13 | $199.53 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $645.65 | Professional | None | $93.33 | $190.55 | $645.65 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $263.03 | Professional | None | $51.29 | $114.82 | $263.03 |
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 $21.38 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $21.38 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $8.51 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $6.31 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $9.12 Typical High $9.12 | Facility | 56 · Pre-op care only | $4.27 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $21.38 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $8.51 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $12.30 Typical High $13.49 | Professional | 55 · Aftercare only | $6.31 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $8.32 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.27 | $8.32 | $9.12 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 3rd of 51
$141
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.