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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None | $144.54 | $144.54 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $316.23 | Facility | None | $190.55 | $208.93 | $316.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | None | $169.82 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $707.95 Typical High $1,819.70 | Facility | None | $147.91 | $707.95 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None | $239.88 | $257.04 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,698.24 | Facility | None | $457.09 | $724.44 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $213.80 Typical High $977.24 | Facility | None | $89.13 | $213.80 | $977.24 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $1,047.13 | Professional | None | $83.18 | $104.71 | $1,047.13 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $257.04 | Facility | None | $102.33 | $102.33 | $257.04 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $204.17 | Professional | None | $69.18 | $104.71 | $204.17 |
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 $72.44 Median $72.44 Typical High $72.44 | Facility | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $15.14 |
Where Minnesota sits
The same service costs 5.4 times more in Kansas 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
$204
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.