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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $218.78 | Facility | None | $107.15 | $162.18 | $218.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | None | $87.10 | $97.72 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $398.11 | Facility | None | $141.25 | $295.12 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $141.25 | Professional | None | $112.20 | $120.23 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $275.42 Typical High $416.87 | Facility | None | $112.20 | $275.42 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $162.18 Typical High $169.82 | Facility | None | $6.46 | $162.18 | $169.82 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $223.87 | Professional | None | $123.03 | $123.03 | $223.87 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $229.09 | Professional | None | $123.03 | $123.03 | $229.09 |
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 $61.66 Median $61.66 Typical High $61.66 | Facility | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.47 | $12.30 | $12.30 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska 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· 9th of 51
$123
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.