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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | None | $120.23 | $128.82 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $281.84 | Facility | None | $165.96 | $181.97 | $281.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $630.96 Typical High $1,584.89 | Facility | None | $125.89 | $630.96 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $269.15 | Professional | None | $213.80 | $223.87 | $269.15 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,513.56 | Facility | None | $398.11 | $630.96 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $1,000.00 | Facility | None | $112.20 | $194.98 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $1,174.90 | Professional | None | $72.44 | $102.33 | $1,174.90 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $251.19 | Facility | None | $87.10 | $100.00 | $251.19 |
United Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $199.53 | Professional | None | $61.66 | $102.33 | $199.53 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $13.49 |
Where Minnesota sits
The same service costs 2.4 times more in Hawaii than in Delaware. 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· 10th of 51
$182
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.