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 $56.23 Median $295.12 Typical High $295.12 | Facility | None | $56.23 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | None | $295.12 | $295.12 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $588.84 | Facility | None | $275.42 | $549.54 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | None | $173.78 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $933.25 Typical High $1,258.93 | Facility | None | $457.09 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $380.19 | Professional | None | $302.00 | $331.13 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $870.96 Typical High $1,318.26 | Facility | None | $354.81 | $870.96 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Medica Setting Facility Modifier None Typical Low $1.62 Median $26.30 Typical High $331.13 | Facility | None | $1.62 | $26.30 | $331.13 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $354.81 | Professional | None | $194.98 | $194.98 | $354.81 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $398.11 | Professional | None | $213.80 | $213.80 | $398.11 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $30.20 |
Where Minnesota sits
The same service costs 6.8 times more in Wyoming than in Oklahoma. 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· 35th of 51
$295
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.