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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $295.12 | Professional | None | $194.98 | $213.80 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $758.58 | Facility | None | $363.08 | $407.38 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | None | $331.13 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,047.13 Typical High $2,630.27 | Facility | None | $302.00 | $1,047.13 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $446.68 | Professional | None | $354.81 | $371.54 | $446.68 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $2,511.89 | Facility | None | $660.69 | $1,047.13 | $2,511.89 |
Health Partners Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $323.59 Typical High $1,348.96 | Facility | None | $102.33 | $323.59 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $977.24 | Professional | None | $199.53 | $245.47 | $977.24 |
United Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $588.84 | Facility | None | $416.87 | $489.78 | $588.84 |
United Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $446.68 | Professional | None | $147.91 | $245.47 | $446.68 |
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 $107.15 Median $107.15 Typical High $107.15 | Facility | 52 · Reduced service | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.42 | $21.38 | $21.38 |
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· 7th of 51
$355
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.