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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $562.34 | Professional | None | $478.63 | $562.34 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.27 Median $707.95 Typical High $954.99 | Facility | None | $4.27 | $707.95 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $478.63 | Professional | None | $380.19 | $426.58 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,819.70 | Facility | None | $645.65 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $645.65 | Professional | None | $512.86 | $549.54 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $1,905.46 | Facility | None | $512.86 | $1,258.93 | $1,905.46 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $213.80 Typical High $758.58 | Facility | None | $4.27 | $213.80 | $758.58 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $851.14 | Professional | None | $467.74 | $467.74 | $851.14 |
United Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $870.96 | Professional | None | $467.74 | $467.74 | $870.96 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $95.50 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $70.79 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $47.86 | $56.23 | $56.23 |
Where Minnesota sits
The same service costs 2.3 times more in Arizona than in Idaho. 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· 9th of 51
$501
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.