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 $616.60 Typical High $933.25 | Facility | None | $213.80 | $616.60 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $309.03 | Professional | None | $165.96 | $213.80 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $407.38 Median $977.24 Typical High $1,659.59 | Facility | None | $407.38 | $977.24 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $245.47 | Professional | None | $194.98 | $234.42 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $2,754.23 | Facility | None | $645.65 | $977.24 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $389.05 | Professional | None | $309.03 | $316.23 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $794.33 | Facility | None | $331.13 | $478.63 | $794.33 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $446.68 Typical High $1,174.90 | Professional | None | $194.98 | $446.68 | $1,174.90 |
United Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $1,174.90 | Facility | None | $831.76 | $891.25 | $1,174.90 |
United Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $616.60 | Professional | None | $177.83 | $346.74 | $616.60 |
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 $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
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 $93.33 Median $107.15 Typical High $173.78 | Professional | 52 · Reduced service | $93.33 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $69.18 | Professional | 53 · Discontinued | $37.15 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $31.62 Typical High $51.29 | Professional | 55 · Aftercare only | $28.18 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $34.67 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $34.67 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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
$309
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.