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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $2,187.76 | Facility | None | $363.08 | $758.58 | $2,187.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $562.34 | Professional | None | $239.88 | $338.84 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $2,041.74 | Facility | None | $478.63 | $724.44 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $288.40 | Professional | None | $229.09 | $251.19 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $676.08 Typical High $1,621.81 | Facility | None | $407.38 | $676.08 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $416.87 | Facility | None | $281.84 | $363.08 | $416.87 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $645.65 Typical High $1,348.96 | Professional | None | $281.84 | $645.65 | $1,348.96 |
United Setting Professional Modifier None Typical Low $229.09 Median $416.87 Typical High $741.31 | Professional | None | $229.09 | $416.87 | $741.31 |
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 $117.49 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 17th of 51
$234
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.