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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | None | $281.84 | $281.84 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $512.86 | Facility | None | $239.88 | $389.05 | $512.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | None | $223.87 | $263.03 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $831.76 | Facility | None | $323.59 | $398.11 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | None | $288.40 | $288.40 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $1,023.29 | Facility | None | $316.23 | $354.81 | $1,023.29 |
Health Partners Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $257.04 Typical High $489.78 | Facility | None | $109.65 | $257.04 | $489.78 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $467.74 | Professional | None | $251.19 | $275.42 | $467.74 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $436.52 | Professional | None | $269.15 | $281.84 | $436.52 |
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 $138.04 Median $138.04 Typical High $138.04 | Facility | 52 · Reduced service | $138.04 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $28.84 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 16th of 51
$282
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.