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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $602.56 | Professional | None | $512.86 | $588.84 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,288.25 | Facility | None | $758.58 | $831.76 | $1,288.25 |
BCBS Minnesota 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 $549.54 Median $2,818.38 Typical High $7,244.36 | Facility | None | $549.54 | $2,818.38 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,230.27 | Professional | None | $977.24 | $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 $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $4,265.80 | Facility | None | $489.78 | $870.96 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $1,698.24 | Professional | None | $331.13 | $446.68 | $1,698.24 |
United Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,096.48 | Facility | None | $331.13 | $436.52 | $1,096.48 |
United Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $870.96 | Professional | None | $275.42 | $446.68 | $870.96 |
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 $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
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 $58.88 Median $58.88 Typical High $58.88 | Facility | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 53 · Discontinued | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $60.26 |
Where Minnesota sits
The same service costs 2.4 times more in Iowa 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· 8th of 51
$813
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.