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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $933.25 | Professional | None | $812.83 | $933.25 | $933.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $4,897.79 | Facility | None | $831.76 | $891.25 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | None | $707.95 | $831.76 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,454.71 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,659.59 | $2,691.53 |
Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $5,495.41 | Facility | None | $1,445.44 | $2,344.23 | $5,495.41 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,584.89 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,479.11 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,023.29 Typical High $5,370.32 | Professional | None | $512.86 | $1,023.29 | $5,370.32 |
United Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,621.81 | Professional | None | $478.63 | $851.14 | $1,621.81 |
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 $467.74 Median $467.74 Typical High $467.74 | Facility | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $407.38 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $162.18 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $120.23 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $81.28 | $93.33 | $93.33 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 15th of 51
$933
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.