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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $891.25 | Professional | None | $707.95 | $891.25 | $891.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,513.56 | Facility | None | $691.83 | $1,096.48 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $758.58 | Professional | None | $602.56 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $446.68 | Facility | None | $158.49 | $331.13 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $158.49 | Professional | None | $125.89 | $141.25 | $158.49 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $467.74 | Facility | None | $125.89 | $309.03 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $851.14 Typical High $1,445.44 | Facility | None | $85.11 | $851.14 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | None | $707.95 | $707.95 | $1,288.25 |
United Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,380.38 | Professional | None | $741.31 | $741.31 | $1,380.38 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $70.79 | $89.13 | $89.13 |
Where Minnesota sits
The same service costs 9.8 times more in Alaska 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· 47th of 51
$708
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.