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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | None | $162.18 | $162.18 | $223.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $354.81 Typical High $380.19 | Facility | None | $177.83 | $354.81 | $380.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | None | $147.91 | $177.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $537.03 | Facility | None | $223.87 | $269.15 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $208.93 | Professional | None | $165.96 | $169.82 | $208.93 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $645.65 | Facility | None | $213.80 | $245.47 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $316.23 Typical High $630.96 | Facility | None | $154.88 | $316.23 | $630.96 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $316.23 | Professional | None | $154.88 | $173.78 | $316.23 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $316.23 | Professional | None | $177.83 | $186.21 | $316.23 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 55 · Aftercare only | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $16.60 |
Where Minnesota sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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· 40th of 51
$166
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.