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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | None | $269.15 | $269.15 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $549.54 | Facility | None | $263.03 | $512.86 | $549.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | None | $213.80 | $239.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $977.24 | Facility | None | $354.81 | $724.44 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $346.74 | Professional | None | $275.42 | $302.00 | $346.74 |
Health Partners Setting Facility Modifier None Typical Low $281.84 Median $691.83 Typical High $1,023.29 | Facility | None | $281.84 | $691.83 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $489.78 | Facility | None | $263.03 | $436.52 | $489.78 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | None | $251.19 | $251.19 | $302.00 |
United Setting Facility Modifier None Typical Low $245.47 Median $257.04 Typical High $288.40 | Facility | None | $245.47 | $257.04 | $288.40 |
United Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $331.13 | Professional | None | $251.19 | $263.03 | $331.13 |
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 $134.90 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 2.3 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· 43rd of 51
$269
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.