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 $100.00 Median $131.83 Typical High $131.83 | Professional | None | $100.00 | $131.83 | $131.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $288.40 | Facility | None | $169.82 | $190.55 | $288.40 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $194.98 | Professional | None | $154.88 | $190.55 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $616.60 Typical High $1,621.81 | Facility | None | $117.49 | $616.60 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $275.42 | Professional | None | $218.78 | $234.42 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,548.82 | Facility | None | $416.87 | $660.69 | $1,548.82 |
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 $91.20 Median $190.55 Typical High $794.33 | Facility | None | $91.20 | $190.55 | $794.33 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $891.25 | Professional | None | $67.61 | $83.18 | $891.25 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $204.17 | Facility | None | $93.33 | $93.33 | $204.17 |
United Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $165.96 | Professional | None | $58.88 | $83.18 | $165.96 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
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 2.4 times more in Hawaii than in Colorado. 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
$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.