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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $1,000.00 Typical High $2,818.38 | Facility | None | $125.89 | $1,000.00 | $2,818.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $125.89 | Professional | None | $100.00 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,949.84 | Facility | None | $457.09 | $691.83 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | None | $218.78 | $239.88 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,513.56 | Facility | None | $407.38 | $645.65 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $363.08 | Facility | None | $208.93 | $338.84 | $363.08 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $467.74 | Professional | None | $173.78 | $263.03 | $467.74 |
United Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $512.86 | Professional | None | $173.78 | $275.42 | $512.86 |
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 $109.65 Median $109.65 Typical High $109.65 | Facility | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 53 · Discontinued | $43.65 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 55 · Aftercare only | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 56 · Pre-op care only | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $26.92 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.78 | $21.88 | $21.88 |
Where Minnesota sits
The same service costs 20.0 times more in Alaska than in Virginia. 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
$219
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.