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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Facility | None | $302.00 | $338.84 | $512.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | None | $275.42 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $2,951.21 | Facility | None | $218.78 | $1,148.15 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $501.19 | Professional | None | $389.05 | $416.87 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,754.23 | Facility | None | $741.31 | $1,174.90 | $2,754.23 |
Health Partners Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $1,621.81 | Facility | None | $181.97 | $338.84 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $2,137.96 | Professional | None | $128.82 | $165.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $407.38 | Facility | None | $199.53 | $204.17 | $407.38 |
United Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $331.13 | Professional | None | $112.20 | $165.96 | $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 $117.49 Median $117.49 Typical High $117.49 | Facility | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Where Minnesota sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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
$324
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.