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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $524.81 | Facility | None | $309.03 | $346.74 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | None | $281.84 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $1,174.90 Typical High $2,951.21 | Facility | None | $190.55 | $1,174.90 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $501.19 | Professional | None | $398.11 | $426.58 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,818.38 | Facility | None | $741.31 | $1,202.26 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $1,584.89 | Facility | None | $181.97 | $346.74 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $1,949.84 | Professional | None | $131.83 | $169.82 | $1,949.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $416.87 | Facility | None | $125.89 | $173.78 | $416.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $331.13 | Professional | None | $114.82 | $169.82 | $331.13 |
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 $120.23 Median $120.23 Typical High $120.23 | Facility | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Where Minnesota sits
The same service costs 2.7 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· 5th of 51
$331
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.