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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $426.58 | Facility | None | $208.93 | $316.23 | $426.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $213.80 | Professional | None | $169.82 | $190.55 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $776.25 | Facility | None | $281.84 | $575.44 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | None | $218.78 | $239.88 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $549.54 Typical High $812.83 | Facility | None | $223.87 | $549.54 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $407.38 | Facility | None | $213.80 | $213.80 | $407.38 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $389.05 | Professional | None | $213.80 | $213.80 | $389.05 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.88 |
Where Minnesota sits
The same service costs 7.6 times more in Alabama than in New Mexico. 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· 24th of 51
$214
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.