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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None | $229.09 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $426.58 Typical High $457.09 | Facility | None | $208.93 | $426.58 | $457.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $229.09 | Professional | None | $181.97 | $208.93 | $229.09 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $104.71 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $691.83 | Facility | None | $245.47 | $501.19 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | None | $190.55 | $218.78 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $478.63 Typical High $707.95 | Facility | None | $194.98 | $478.63 | $707.95 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $354.81 | Facility | None | $251.19 | $354.81 | $354.81 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $269.15 | Professional | None | $223.87 | $229.09 | $269.15 |
United Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $316.23 | Professional | None | $239.88 | $251.19 | $316.23 |
6 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 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $22.91 |
Where Minnesota sits
The same service costs 2.0 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· 35th of 51
$229
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.