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 $107.15 Median $117.49 Typical High $457.09 | Facility | None | $107.15 | $117.49 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None | $109.65 | $117.49 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $346.74 Typical High $794.33 | Facility | None | $177.83 | $346.74 | $794.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $302.00 | Professional | None | $138.04 | $190.55 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $1,047.13 | Facility | None | $245.47 | $371.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $354.81 | Professional | None | $162.18 | $223.87 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $831.76 | Facility | None | $218.78 | $346.74 | $831.76 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $331.13 | Professional | None | $158.49 | $186.21 | $331.13 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $223.87 Typical High $457.09 | Facility | None | $89.13 | $223.87 | $457.09 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $204.17 Typical High $660.69 | Professional | None | $100.00 | $204.17 | $660.69 |
United Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $112.20 | Facility | None | $102.33 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $346.74 | Professional | None | $95.50 | $177.83 | $346.74 |
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 $58.88 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $11.75 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$191
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.