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 $263.03 Median $338.84 Typical High $512.86 | Facility | None | $263.03 | $338.84 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | None | $338.84 | $338.84 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $645.65 | Facility | None | $316.23 | $602.56 | $645.65 |
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 $416.87 Median $851.14 Typical High $1,148.15 | Facility | None | $416.87 | $851.14 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $436.52 | Professional | None | $354.81 | $380.19 | $436.52 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $1,202.26 | Facility | None | $323.59 | $794.33 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $549.54 | Facility | None | $275.42 | $316.23 | $549.54 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $363.08 | Professional | None | $295.12 | $302.00 | $363.08 |
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $380.19 | Facility | None | $323.59 | $338.84 | $380.19 |
United Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $416.87 | Professional | None | $316.23 | $331.13 | $416.87 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
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 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
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 2.9 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· 38th 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.