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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $371.54 | Facility | None | $173.78 | $257.04 | $371.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $194.98 | Professional | None | $151.36 | $173.78 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $562.34 | Facility | None | $204.17 | $416.87 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $199.53 | Professional | None | $158.49 | $173.78 | $199.53 |
Health Partners Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $588.84 | Facility | None | $158.49 | $389.05 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $302.00 | Facility | None | $123.03 | $141.25 | $302.00 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $229.09 | Professional | None | $190.55 | $194.98 | $229.09 |
United Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $263.03 | Professional | None | $199.53 | $208.93 | $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 $95.50 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $19.50 |
Where Minnesota sits
The same service costs 8.3 times more in Arizona than in Alabama. 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· 36th of 51
$195
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.