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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Facility | None | $537.03 | $602.56 | $912.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | None | $489.78 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $2,041.74 Typical High $5,128.61 | Facility | None | $389.05 | $2,041.74 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | None | $691.83 | $741.31 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $4,897.79 | Facility | None | $1,318.26 | $2,089.30 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $602.56 Typical High $2,630.27 | Facility | None | $295.12 | $602.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $3,548.13 | Professional | None | $223.87 | $275.42 | $3,548.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $676.08 | Facility | None | $331.13 | $426.58 | $676.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $537.03 | Professional | None | $194.98 | $275.42 | $537.03 |
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Where Minnesota sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 7th of 51
$562
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.