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 $338.84 Median $354.81 Typical High $562.34 | Facility | None | $338.84 | $354.81 | $562.34 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | None | $338.84 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $691.83 | Facility | None | $316.23 | $630.96 | $691.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | None | $269.15 | $302.00 | $338.84 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $151.36 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $1,047.13 | Facility | None | $371.54 | $758.58 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | None | $288.40 | $331.13 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,071.52 | Facility | None | $295.12 | $724.44 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $562.34 | Facility | None | $281.84 | $371.54 | $562.34 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $398.11 | Professional | None | $331.13 | $338.84 | $398.11 |
United Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $457.09 | Professional | None | $346.74 | $363.08 | $457.09 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Minnesota sits
The same service costs 3.0 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· 41st of 51
$339
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.