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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $1,995.26 | Facility | None | $309.03 | $660.69 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $489.78 | Professional | None | $229.09 | $316.23 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $1,819.70 | Facility | None | $416.87 | $630.96 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $257.04 | Professional | None | $204.17 | $213.80 | $257.04 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $1,412.54 | Facility | None | $363.08 | $602.56 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $346.74 | Facility | None | $239.88 | $288.40 | $346.74 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $602.56 | Professional | None | $257.04 | $371.54 | $602.56 |
United Setting Professional Modifier None Typical Low $223.87 Median $380.19 Typical High $676.08 | Professional | None | $223.87 | $380.19 | $676.08 |
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 $85.11 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska than in Alabama. 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
$282
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.