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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $524.81 | Professional | None | $457.09 | $524.81 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,148.15 | Facility | None | $676.08 | $741.31 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,454.71 Typical High $6,456.54 | Facility | None | $380.19 | $2,454.71 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,096.48 | Professional | None | $870.96 | $912.01 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $6,025.60 | Facility | None | $1,621.81 | $2,570.40 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $3,090.30 | Facility | None | $354.81 | $741.31 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $4,168.69 | Professional | None | $263.03 | $323.59 | $4,168.69 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $794.33 | Facility | None | $389.05 | $467.74 | $794.33 |
United Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $645.65 | Professional | None | $229.09 | $323.59 | $645.65 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Where Minnesota sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 5th of 51
$676
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.