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 $10,232.93 Median $25,118.86 Typical High $39,810.72 | Facility | None | $10,232.93 | $25,118.86 | $39,810.72 |
Aetna Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15,135.61 Median $25,118.86 Typical High $48,977.88 | Facility | None | $15,135.61 | $25,118.86 | $48,977.88 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $7,244.36 Typical High $21,379.62 | Facility | None | $3,981.07 | $7,244.36 | $21,379.62 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $28,840.32 | Facility | None | $3,981.07 | $5,623.41 | $28,840.32 |
10 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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | 52 · Reduced service | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | 53 · Discontinued | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | 54 · Surgery only | $7,762.47 | $7,762.47 | $7,762.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | 55 · Aftercare only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 56 · Pre-op care only | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | 52 · Reduced service | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 53 · Discontinued | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | 54 · Surgery only | $7,762.47 | $7,762.47 | $7,762.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 55 · Aftercare only | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $1,023.29 | $1,023.29 | $1,023.29 |
Where Minnesota sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 1st of 51
$22,387
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.