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 $77.62 Median $77.62 Typical High $1,949.84 | Facility | None | $77.62 | $77.62 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $87.10 | Professional | None | $69.18 | $77.62 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $112.20 Median $1,412.54 Typical High $3,090.30 | Facility | None | $112.20 | $1,412.54 | $3,090.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $208.93 | Professional | None | $91.20 | $131.83 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $691.83 | Facility | None | $162.18 | $245.47 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $165.96 Typical High $269.15 | Professional | None | $100.00 | $165.96 | $269.15 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $537.03 | Facility | None | $144.54 | $229.09 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $257.04 | Professional | None | $114.82 | $154.88 | $257.04 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $660.69 Typical High $2,089.30 | Facility | None | $104.71 | $660.69 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $851.14 | Professional | None | $79.43 | $181.97 | $851.14 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,862.09 | $2,454.71 |
United Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $245.47 | Professional | None | $75.86 | $128.82 | $245.47 |
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 $38.90 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.41 | $7.76 | $7.76 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 4th of 51
$135
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.