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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $173.78 | Professional | None | $104.71 | $104.71 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $1,288.25 | Facility | None | $446.68 | $776.25 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $302.00 | Professional | None | $151.36 | $194.98 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $831.76 | Facility | None | $239.88 | $275.42 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $281.84 | Professional | None | $169.82 | $239.88 | $281.84 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $436.52 | Facility | None | $223.87 | $234.42 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | None | $165.96 | $234.42 | $234.42 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $851.14 | Facility | None | $138.04 | $177.83 | $851.14 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $3,162.28 | Professional | None | $109.65 | $229.09 | $3,162.28 |
United Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $1,174.90 | Facility | None | $831.76 | $891.25 | $1,174.90 |
United Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $316.23 | Professional | None | $104.71 | $177.83 | $316.23 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $20.89 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $17.38 |
Where Minnesota sits
The same service costs 3.0 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· 2nd of 51
$214
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.