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 $114.82 Median $147.91 Typical High $147.91 | Facility | None | $114.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $147.91 | Professional | None | $114.82 | $125.89 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $1,288.25 | Facility | None | $208.93 | $457.09 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $407.38 | Professional | None | $138.04 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,584.89 | Facility | None | $346.74 | $537.03 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $229.09 | Professional | None | $138.04 | $177.83 | $229.09 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $1,258.93 | Facility | None | $323.59 | $524.81 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $177.83 | Professional | None | $138.04 | $162.18 | $177.83 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $223.87 Typical High $371.54 | Facility | None | $173.78 | $223.87 | $371.54 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $758.58 Typical High $912.01 | Professional | None | $177.83 | $758.58 | $912.01 |
United Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $426.58 | Professional | None | $131.83 | $239.88 | $426.58 |
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 $57.54 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $57.54 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $22.91 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $17.38 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.48 Median $14.79 Typical High $14.79 | Facility | 56 · Pre-op care only | $11.48 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.62 Typical High $22.39 | Professional | 55 · Aftercare only | $17.38 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.59 Typical High $14.79 | Professional | 56 · Pre-op care only | $11.48 | $12.59 | $14.79 |
Where Minnesota sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 8th of 51
$174
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.