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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | None | $109.65 | $131.83 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $288.40 | Facility | None | $169.82 | $186.21 | $288.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | None | $151.36 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $630.96 Typical High $1,621.81 | Facility | None | $89.13 | $630.96 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $275.42 | Professional | None | $218.78 | $229.09 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,513.56 | Facility | None | $407.38 | $645.65 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $186.21 Typical High $758.58 | Facility | None | $85.11 | $186.21 | $758.58 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $891.25 | Professional | None | $63.10 | $77.62 | $891.25 |
United Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $190.55 | Facility | None | $70.79 | $87.10 | $190.55 |
United Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $158.49 | Professional | None | $54.95 | $77.62 | $158.49 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Where Minnesota sits
The same service costs 2.6 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· 3rd of 51
$174
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.