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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $186.21 | Professional | None | $104.71 | $120.23 | $186.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $912.01 | Facility | None | $181.97 | $316.23 | $912.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $316.23 | Professional | None | $162.18 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $1,047.13 | Facility | None | $245.47 | $371.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $147.91 | Professional | None | $117.49 | $120.23 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $812.83 | Facility | None | $218.78 | $346.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $177.83 Typical High $537.03 | Facility | None | $40.74 | $177.83 | $537.03 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $407.38 | Professional | None | $102.33 | $194.98 | $407.38 |
United Setting Professional Modifier None Typical Low $97.72 Median $229.09 Typical High $407.38 | Professional | None | $97.72 | $229.09 | $407.38 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 55 · Aftercare only | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $16.22 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.72 | $12.02 | $12.02 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in West 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· 6th of 51
$170
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.