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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,659.59 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $831.76 Median $3,467.37 Typical High $6,309.57 | Facility | None | $831.76 | $3,467.37 | $6,309.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $831.76 | Professional | None | $660.69 | $741.31 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $8,912.51 | Facility | None | $2,089.30 | $3,162.28 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,258.93 | $1,445.44 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $6,918.31 | Facility | None | $1,862.09 | $2,951.21 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,000.00 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,090.30 | Facility | None | $2,089.30 | $2,818.38 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $10,232.93 | Professional | None | $1,659.59 | $1,659.59 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,659.59 | $1,659.59 | $3,090.30 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $691.83 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $208.93 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $138.04 | $165.96 | $165.96 |
Where Minnesota sits
The same service costs 33.1 times more in Alaska than in New York. 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· 47th of 51
$1,259
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.