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 $562.34 Median $562.34 Typical High $645.65 | Professional | None | $562.34 | $562.34 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,258.93 | Facility | None | $676.08 | $870.96 | $1,258.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $660.69 | Professional | None | $524.81 | $588.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,513.56 Typical High $2,089.30 | Facility | None | $741.31 | $1,513.56 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $724.44 | Professional | None | $575.44 | $630.96 | $724.44 |
Health Partners Setting Facility Modifier None Typical Low $588.84 Median $1,445.44 Typical High $2,137.96 | Facility | None | $588.84 | $1,445.44 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $1,000.00 | Facility | None | $524.81 | $891.25 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $954.99 | Professional | None | $524.81 | $524.81 | $954.99 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,230.27 | Professional | None | $660.69 | $660.69 | $1,230.27 |
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 $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
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 $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $58.88 |
Where Minnesota sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 45th of 51
$617
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.