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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | None | $204.17 | $204.17 | $218.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $407.38 | Facility | None | $190.55 | $389.05 | $407.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $213.80 | Professional | None | $169.82 | $199.53 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $302.00 | Facility | None | $239.88 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $263.03 | Professional | None | $213.80 | $218.78 | $263.03 |
Health Partners Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Facility | None | $234.42 | $234.42 | $239.88 |
Health Partners Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $371.54 | Facility | None | $199.53 | $331.13 | $371.54 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $851.14 | Professional | None | $199.53 | $218.78 | $851.14 |
United Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $331.13 | Professional | None | $199.53 | $213.80 | $331.13 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $40.74 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $21.38 |
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
$214
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.