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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $181.97 | Professional | None | $165.96 | $181.97 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $645.65 | Facility | None | $302.00 | $338.84 | $645.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | None | $275.42 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $891.25 Typical High $2,238.72 | Facility | None | $275.42 | $891.25 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $380.19 | Professional | None | $295.12 | $316.23 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $2,089.30 | Facility | None | $562.34 | $891.25 | $2,089.30 |
Health Partners Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $269.15 Typical High $1,148.15 | Facility | None | $87.10 | $269.15 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $1,737.80 | Professional | None | $165.96 | $208.93 | $1,737.80 |
United Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $501.19 | Facility | None | $354.81 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $380.19 | Professional | None | $123.03 | $208.93 | $380.19 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $17.38 | $18.20 | $18.20 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 6th of 51
$295
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.