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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | None | $154.88 | $154.88 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $524.81 | Facility | None | $263.03 | $295.12 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $302.00 | Professional | None | $239.88 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $741.31 Typical High $1,905.46 | Facility | None | $213.80 | $741.31 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,819.70 | Facility | None | $478.63 | $758.58 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $1,096.48 | Facility | None | $162.18 | $269.15 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $1,659.59 | Professional | None | $138.04 | $177.83 | $1,659.59 |
United Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $407.38 | Facility | None | $213.80 | $234.42 | $407.38 |
United Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $346.74 | Professional | None | $107.15 | $177.83 | $346.74 |
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 $77.62 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $16.22 |
Where Minnesota sits
The same service costs 2.9 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· 6th of 51
$257
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.