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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None | $109.65 | $114.82 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $1,148.15 | Facility | None | $181.97 | $389.05 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $302.00 | Professional | None | $147.91 | $190.55 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | None | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $371.54 | Professional | None | $173.78 | $234.42 | $371.54 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $812.83 | Facility | None | $218.78 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $346.74 | Professional | None | $173.78 | $186.21 | $346.74 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $251.19 | Facility | None | $144.54 | $186.21 | $251.19 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $691.83 | Professional | None | $128.82 | $269.15 | $691.83 |
United Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $398.11 | Professional | None | $120.23 | $218.78 | $398.11 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $54.95 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.96 | $11.48 | $11.48 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 8th of 51
$195
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.