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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,659.59 | Facility | None | $407.38 | $812.83 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $251.19 | Professional | None | $104.71 | $141.25 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $338.84 | Facility | None | $114.82 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $323.59 | Professional | None | $131.83 | $204.17 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $288.40 | Facility | None | $102.33 | $165.96 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $281.84 | Professional | None | $114.82 | $186.21 | $281.84 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $1,445.44 | Facility | None | $123.03 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $660.69 | Professional | None | $87.10 | $162.18 | $660.69 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $295.12 | Professional | None | $81.28 | $151.36 | $295.12 |
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 $36.31 Median $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Where Minnesota sits
The same service costs 4.5 times more in Wisconsin than in Kentucky. 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· 6th of 51
$158
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.