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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | None | $331.13 | $331.13 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $630.96 | Facility | None | $309.03 | $489.78 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | None | $269.15 | $323.59 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $1,174.90 | Facility | None | $426.58 | $870.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $426.58 | Professional | None | $338.84 | $346.74 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,230.27 | Facility | None | $338.84 | $831.76 | $1,230.27 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $602.56 | Facility | None | $316.23 | $436.52 | $602.56 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $1,380.38 | Professional | None | $316.23 | $354.81 | $1,380.38 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $524.81 | Professional | None | $323.59 | $338.84 | $524.81 |
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 $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 55 · Aftercare only | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $66.07 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.88 |
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· 14th of 51
$339
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.