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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $588.84 | Professional | None | $562.34 | $562.34 | $588.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $1,230.27 | Facility | None | $724.44 | $812.83 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $812.83 | Professional | None | $660.69 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $2,754.23 Typical High $6,918.31 | Facility | None | $398.11 | $2,754.23 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,174.90 | Professional | None | $933.25 | $977.24 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,737.80 | $2,754.23 | $6,606.93 |
Health Partners Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $812.83 Typical High $3,388.44 | Facility | None | $275.42 | $812.83 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $4,265.80 | Professional | None | $309.03 | $354.81 | $4,265.80 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $870.96 | Facility | None | $295.12 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $707.95 | Professional | None | $251.19 | $354.81 | $707.95 |
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 $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $58.88 |
Where Minnesota sits
The same service costs 3.0 times more in Montana 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
$741
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.