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 $162.18 Median $575.44 Typical High $575.44 | Facility | None | $162.18 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $602.56 | Professional | None | $436.52 | $575.44 | $602.56 |
BCBS Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,258.93 | Facility | None | $758.58 | $831.76 | $1,258.93 |
BCBS Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $851.14 | Professional | None | $676.08 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,818.38 Typical High $7,244.36 | Facility | None | $457.09 | $2,818.38 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,230.27 | Professional | None | $954.99 | $1,023.29 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,819.70 | $2,884.03 | $6,760.83 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $831.76 Typical High $3,801.89 | Facility | None | $138.04 | $831.76 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $1,479.11 | Professional | None | $309.03 | $380.19 | $1,479.11 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $933.25 | Facility | None | $407.38 | $407.38 | $933.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $741.31 | Professional | None | $269.15 | $380.19 | $741.31 |
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 $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 6th of 51
$759
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.