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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $371.54 | Professional | None | $295.12 | $371.54 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $630.96 | Facility | None | $316.23 | $478.63 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $316.23 | Professional | None | $251.19 | $302.00 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $1,000.00 | Facility | None | $338.84 | $416.87 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $416.87 | Professional | None | $331.13 | $331.13 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $1,230.27 | Facility | None | $331.13 | $371.54 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $165.96 Typical High $501.19 | Facility | None | $14.79 | $165.96 | $501.19 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $1,258.93 | Professional | None | $309.03 | $346.74 | $1,258.93 |
United Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $512.86 | Professional | None | $309.03 | $331.13 | $512.86 |
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 $186.21 Median $186.21 Typical High $186.21 | Facility | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $147.91 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $58.88 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $44.67 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $29.51 | $37.15 | $37.15 |
Where Minnesota sits
The same service costs 2.3 times more in Alaska than in Montana. 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· 3rd of 51
$331
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.