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 $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $776.25 | Facility | None | $380.19 | $588.84 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $407.38 | Professional | None | $323.59 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,318.26 | Facility | None | $467.74 | $954.99 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $467.74 | Professional | None | $371.54 | $407.38 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $1,348.96 | Facility | None | $371.54 | $912.01 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $724.44 | Facility | None | $380.19 | $645.65 | $724.44 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $707.95 | Professional | None | $380.19 | $426.58 | $707.95 |
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 $380.19 Median $426.58 Typical High $707.95 | Professional | None | $380.19 | $426.58 | $707.95 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
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 $204.17 | Professional | 52 · Reduced service | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $79.43 | $79.43 | $81.28 |
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 $40.74 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $40.74 |
Where Minnesota sits
The same service costs 1.9 times more in Texas than in Illinois. 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· 50th 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.