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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $549.54 | Facility | None | $251.19 | $446.68 | $549.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | None | $194.98 | $218.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $870.96 | Facility | None | $316.23 | $645.65 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | None | $251.19 | $281.84 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $616.60 Typical High $912.01 | Facility | None | $251.19 | $616.60 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $446.68 | Facility | None | $234.42 | $398.11 | $446.68 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $354.81 | Professional | None | $257.04 | $263.03 | $354.81 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $426.58 | Professional | None | $257.04 | $269.15 | $426.58 |
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 $120.23 Median $120.23 Typical High $120.23 | Facility | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Where Minnesota sits
The same service costs 8.7 times more in Alabama than in Rhode Island. 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· 41st of 51
$251
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.