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 $389.05 Median $724.44 Typical High $1,778.28 | Facility | None | $389.05 | $724.44 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Professional | None | $331.13 | $331.13 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $707.95 | Facility | None | $346.74 | $630.96 | $707.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | None | $251.19 | $281.84 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $1,174.90 | Facility | None | $426.58 | $870.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $426.58 | Professional | None | $338.84 | $389.05 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $812.83 Typical High $1,230.27 | Facility | None | $331.13 | $812.83 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $416.87 Typical High $912.01 | Facility | None | $50.12 | $416.87 | $912.01 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $478.63 | Professional | None | $371.54 | $371.54 | $478.63 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $537.03 | Professional | None | $331.13 | $346.74 | $537.03 |
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 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 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 $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
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 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Where Minnesota sits
The same service costs 3.5 times more in Minnesota 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· 1st of 51
$562
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.