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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $281.84 | Facility | None | $141.25 | $204.17 | $281.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None | $112.20 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $512.86 | Facility | None | $186.21 | $380.19 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $186.21 | Professional | None | $147.91 | $162.18 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $537.03 | Facility | None | $144.54 | $354.81 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $194.98 Typical High $269.15 | Facility | None | $141.25 | $194.98 | $269.15 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $263.03 | Professional | None | $141.25 | $154.88 | $263.03 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $263.03 | Professional | None | $141.25 | $154.88 | $263.03 |
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 $72.44 Median $72.44 Typical High $72.44 | Facility | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $15.14 |
Where Minnesota sits
The same service costs 1.5 times more in Arizona than in Oregon. 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· 23rd of 51
$148
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.