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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $851.14 | Facility | None | $208.93 | $389.05 | $851.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $363.08 | Professional | None | $162.18 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $1,258.93 | Facility | None | $295.12 | $446.68 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $426.58 | Professional | None | $194.98 | $269.15 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $1,000.00 | Facility | None | $263.03 | $416.87 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $398.11 | Professional | None | $190.55 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $537.03 | Facility | None | $131.83 | $223.87 | $537.03 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $776.25 | Professional | None | $131.83 | $239.88 | $776.25 |
United Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $112.20 Median $204.17 Typical High $416.87 | Professional | None | $112.20 | $204.17 | $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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $13.18 | $14.13 | $14.13 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Indiana. 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
$224
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.