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 $398.11 Median $512.86 Typical High $616.60 | Facility | None | $398.11 | $512.86 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $616.60 | Professional | None | $371.54 | $457.09 | $616.60 |
BCBS Minnesota Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $630.96 | Facility | None | $213.80 | $380.19 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,202.26 | Professional | None | $501.19 | $741.31 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $4,570.88 | Facility | None | $1,071.52 | $1,621.81 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | None | $446.68 | $524.81 | $660.69 |
Health Partners Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $3,630.78 | Facility | None | $977.24 | $1,548.82 | $3,630.78 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $512.86 | Professional | None | $446.68 | $512.86 | $512.86 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $933.25 | Facility | None | $416.87 | $691.83 | $933.25 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,071.52 Typical High $2,754.23 | Professional | None | $436.52 | $1,071.52 | $2,754.23 |
United Setting Facility Modifier None Typical Low $446.68 Median $478.63 Typical High $630.96 | Facility | None | $446.68 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $323.59 Median $524.81 Typical High $1,096.48 | Professional | None | $323.59 | $524.81 | $1,096.48 |
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 $263.03 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $263.03 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $104.71 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $79.43 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $61.66 Typical High $61.66 | Facility | 56 · Pre-op care only | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $83.18 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $91.20 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $41.69 | $52.48 | $61.66 |
Where Minnesota sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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· 10th of 51
$525
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.