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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | None | $123.03 | $131.83 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $194.98 Median $794.33 Typical High $1,621.81 | Facility | None | $194.98 | $794.33 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $363.08 | Professional | None | $154.88 | $229.09 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $1,174.90 | Facility | None | $275.42 | $416.87 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $457.09 | Professional | None | $173.78 | $281.84 | $457.09 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | None | $251.19 | $398.11 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $407.38 | Professional | None | $199.53 | $263.03 | $407.38 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $275.42 | Facility | None | $165.96 | $213.80 | $275.42 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $295.12 Typical High $1,174.90 | Professional | None | $134.90 | $295.12 | $1,174.90 |
United Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $426.58 | Professional | None | $128.82 | $218.78 | $426.58 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $25.12 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $12.59 | $13.18 | $13.18 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 3rd of 51
$229
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.