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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $512.86 | Professional | None | $489.78 | $512.86 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $1,122.02 | Facility | None | $660.69 | $741.31 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $741.31 | Professional | None | $602.56 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $2,511.89 Typical High $6,309.57 | Facility | None | $407.38 | $2,511.89 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,071.52 | Professional | None | $851.14 | $912.01 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $6,025.60 | Facility | None | $1,584.89 | $2,570.40 | $6,025.60 |
Health Partners Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $3,467.37 | Facility | None | $398.11 | $741.31 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $5,011.87 | Professional | None | $295.12 | $363.08 | $5,011.87 |
United Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $891.25 | Facility | None | $436.52 | $575.44 | $891.25 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $707.95 | Professional | None | $245.47 | $363.08 | $707.95 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Where Minnesota sits
The same service costs 4.3 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· 3rd of 51
$708
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.