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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $562.34 | Professional | None | $389.05 | $389.05 | $562.34 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $776.25 | Facility | None | $389.05 | $588.84 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | None | $309.03 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,047.13 Typical High $1,445.44 | Facility | None | $512.86 | $1,047.13 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $501.19 | Professional | None | $398.11 | $426.58 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $1,479.11 | Facility | None | $407.38 | $1,000.00 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $269.15 Typical High $660.69 | Facility | None | $128.82 | $269.15 | $660.69 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $524.81 | Professional | None | $158.49 | $398.11 | $524.81 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $575.44 | Professional | None | $154.88 | $389.05 | $575.44 |
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 $194.98 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $39.81 |
Where Minnesota sits
The same service costs 1.7 times more in Alaska 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· 41st of 51
$389
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.