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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $1,230.27 Typical High $2,884.03 | Facility | None | $141.25 | $1,230.27 | $2,884.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $263.03 | Professional | None | $112.20 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $851.14 | Facility | None | $199.53 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $331.13 | Professional | None | $125.89 | $204.17 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $676.08 | Facility | None | $181.97 | $288.40 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $295.12 | Professional | None | $144.54 | $190.55 | $295.12 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $199.53 | Facility | None | $120.23 | $151.36 | $199.53 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $213.80 Typical High $933.25 | Professional | None | $97.72 | $213.80 | $933.25 |
United Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $302.00 | Professional | None | $93.33 | $158.49 | $302.00 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 55 · Aftercare only | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $13.49 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $9.12 | $9.55 | $9.55 |
Where Minnesota sits
The same service costs 3.1 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
$166
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.