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 $46.77 Median $134.90 Typical High $134.90 | Facility | None | $46.77 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $112.20 Typical High $144.54 | Professional | None | $46.77 | $112.20 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,513.56 | Facility | None | $281.84 | $660.69 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $169.82 Typical High $338.84 | Professional | None | $57.54 | $169.82 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $354.81 Typical High $1,071.52 | Facility | None | $309.03 | $354.81 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $338.84 | Professional | None | $89.13 | $134.90 | $338.84 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $562.34 | Facility | None | $288.40 | $302.00 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $302.00 | Professional | None | $83.18 | $181.97 | $302.00 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $199.53 Typical High $512.86 | Facility | None | $72.44 | $199.53 | $512.86 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $354.81 Typical High $851.14 | Professional | None | $138.04 | $354.81 | $851.14 |
United Setting Facility Modifier None Typical Low $537.03 Median $575.44 Typical High $758.58 | Facility | None | $537.03 | $575.44 | $758.58 |
United Setting Professional Modifier None Typical Low $51.29 Median $128.82 Typical High $331.13 | Professional | None | $51.29 | $128.82 | $331.13 |
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 $23.44 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $23.44 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $9.33 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $6.92 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $13.49 Typical High $13.49 | Facility | 56 · Pre-op care only | $4.68 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $23.44 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $9.33 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $6.92 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $10.96 Typical High $13.49 | Professional | 56 · Pre-op care only | $4.68 | $10.96 | $13.49 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin than in Washington, DC. 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· 11th of 51
$141
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.