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 $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $776.25 | Facility | None | $380.19 | $758.58 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $389.05 | Professional | None | $316.23 | $354.81 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $1,445.44 | Facility | None | $512.86 | $1,047.13 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $524.81 | Professional | None | $416.87 | $446.68 | $524.81 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,479.11 | Facility | None | $407.38 | $1,000.00 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $389.05 Typical High $660.69 | Facility | None | $79.43 | $389.05 | $660.69 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $707.95 | Professional | None | $389.05 | $389.05 | $707.95 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $724.44 | Professional | None | $389.05 | $389.05 | $724.44 |
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 $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $41.69 |
Where Minnesota sits
The same service costs 2.8 times more in Arizona 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· 25th of 51
$398
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.