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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | None | $144.54 | $147.91 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $524.81 | Facility | None | $251.19 | $281.84 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | None | $229.09 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $724.44 Typical High $1,819.70 | Facility | None | $213.80 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $316.23 | Professional | None | $245.47 | $263.03 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,737.80 | Facility | None | $467.74 | $741.31 | $1,737.80 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $223.87 Typical High $933.25 | Facility | None | $72.44 | $223.87 | $933.25 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $1,445.44 | Professional | None | $138.04 | $169.82 | $1,445.44 |
United Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $416.87 | Facility | None | $295.12 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $316.23 | Professional | None | $102.33 | $169.82 | $316.23 |
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 $74.13 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $14.79 |
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· 4th of 51
$245
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.