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 $85.11 Median $3,981.07 Typical High $6,309.57 | Facility | None | $85.11 | $3,981.07 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | None | $85.11 | $85.11 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $107.15 Median $5,011.87 Typical High $12,022.64 | Facility | None | $107.15 | $5,011.87 | $12,022.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $323.59 | Professional | None | $158.49 | $218.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $457.09 | Facility | None | $154.88 | $239.88 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $436.52 | Professional | None | $177.83 | $275.42 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $389.05 | Facility | None | $138.04 | $223.87 | $389.05 |
Health Partners Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $380.19 | Professional | None | $154.88 | $251.19 | $380.19 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $2,187.76 Typical High $4,677.35 | Facility | None | $165.96 | $2,187.76 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $1,513.56 | Professional | None | $125.89 | $223.87 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,513.56 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $371.54 | Professional | None | $117.49 | $199.53 | $371.54 |
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 $42.66 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 56 · Pre-op care only | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | 52 · Reduced service | $42.66 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | 53 · Discontinued | $16.98 | $16.98 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $17.38 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $11.48 |
Where Minnesota sits
The same service costs 7.9 times more in Kansas than in New York. 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· 8th of 51
$257
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.