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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,288.25 | $1,288.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $794.33 Median $1,548.82 Typical High $2,089.30 | Facility | None | $794.33 | $1,548.82 | $2,089.30 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,096.48 | Professional | None | $870.96 | $977.24 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $1,412.54 | Facility | None | $501.19 | $1,023.29 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $489.78 | Professional | None | $398.11 | $446.68 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $977.24 Typical High $1,445.44 | Facility | None | $398.11 | $977.24 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $1,659.59 | Facility | None | $190.55 | $288.40 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,023.29 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,995.26 | Professional | None | $1,071.52 | $1,071.52 | $1,995.26 |
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 $645.65 Median $645.65 Typical High $645.65 | Facility | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $109.65 | $128.82 | $128.82 |
Where Minnesota sits
The same service costs 8.3 times more in Arizona than in Montana. 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· 43rd of 51
$1,047
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.