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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $645.65 | Professional | None | $446.68 | $446.68 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,659.59 | Facility | None | $776.25 | $891.25 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $912.01 | Professional | None | $741.31 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,238.72 Typical High $5,623.41 | Facility | None | $630.96 | $2,238.72 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $954.99 | Professional | None | $741.31 | $794.33 | $954.99 |
Health Partners Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $5,248.07 | Facility | None | $1,412.54 | $2,238.72 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $3,162.28 | Facility | None | $436.52 | $676.08 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $2,089.30 | Professional | None | $426.58 | $537.03 | $2,089.30 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,148.15 | Facility | None | $812.83 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $1,047.13 | Professional | None | $323.59 | $537.03 | $1,047.13 |
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 $223.87 Median $223.87 Typical High $223.87 | Facility | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 52 · Reduced service | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $47.86 |
Where Minnesota sits
The same service costs 2.2 times more in Kansas 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· 8th 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.