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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | None | $812.83 | $954.99 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,621.81 | $2,290.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Professional | None | $645.65 | $812.83 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $4,168.69 | Facility | None | $1,513.56 | $3,090.30 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,288.25 | $1,479.11 |
Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $4,365.16 | Facility | None | $1,174.90 | $2,884.03 | $4,365.16 |
Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $831.76 Typical High $1,621.81 | Facility | None | $50.12 | $831.76 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,479.11 | Professional | None | $794.33 | $794.33 | $1,479.11 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,479.11 | Professional | None | $794.33 | $794.33 | $1,479.11 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $407.38 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $81.28 | $95.50 | $95.50 |
Where Minnesota sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 17th of 51
$955
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.