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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | None | $316.23 | $316.23 | $331.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $295.12 Median $436.52 Typical High $616.60 | Facility | None | $295.12 | $436.52 | $616.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $309.03 | Professional | None | $251.19 | $281.84 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $338.84 Typical High $407.38 | Facility | None | $316.23 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $416.87 | Professional | None | $331.13 | $354.81 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $575.44 | Facility | None | $309.03 | $309.03 | $575.44 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $562.34 | Professional | None | $309.03 | $309.03 | $562.34 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $575.44 | Professional | None | $309.03 | $309.03 | $575.44 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $33.11 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 29th of 51
$316
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.