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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $660.69 | Professional | None | $158.49 | $213.80 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $281.84 Median $2,884.03 Typical High $6,918.31 | Facility | None | $281.84 | $2,884.03 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | None | $295.12 | $338.84 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $977.24 | Facility | None | $323.59 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $275.42 | Professional | None | $128.82 | $162.18 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $812.83 | Facility | None | $288.40 | $467.74 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $218.78 | Professional | None | $125.89 | $190.55 | $218.78 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $4,786.30 | Facility | None | $239.88 | $363.08 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $436.52 Typical High $5,011.87 | Professional | None | $177.83 | $436.52 | $5,011.87 |
United Setting Facility Modifier None Typical Low $5,248.07 Median $5,623.41 Typical High $7,413.10 | Facility | None | $5,248.07 | $5,623.41 | $7,413.10 |
United Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $741.31 | Professional | None | $138.04 | $295.12 | $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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $107.15 Typical High $331.13 | Professional | 52 · Reduced service | $79.43 | $107.15 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $42.66 Typical High $134.90 | Professional | 53 · Discontinued | $31.62 | $42.66 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $32.36 Typical High $100.00 | Professional | 55 · Aftercare only | $23.44 | $32.36 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.38 Typical High $66.07 | Professional | 56 · Pre-op care only | $15.85 | $21.38 | $66.07 |
Where Minnesota sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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· 22nd of 51
$229
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.