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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | None | $112.20 | $112.20 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $245.47 | Facility | None | $144.54 | $158.49 | $245.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | None | $131.83 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $537.03 Typical High $1,380.38 | Facility | None | $102.33 | $537.03 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $234.42 | Professional | None | $186.21 | $194.98 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,318.26 | Facility | None | $346.74 | $549.54 | $1,318.26 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $707.95 | Facility | None | $79.43 | $165.96 | $707.95 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $891.25 | Professional | None | $63.10 | $72.44 | $891.25 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $177.83 | Facility | None | $75.86 | $87.10 | $177.83 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $144.54 | Professional | None | $51.29 | $72.44 | $144.54 |
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 $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $11.75 |
Where Minnesota sits
The same service costs 3.2 times more in Hawaii than in Florida. 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
$151
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.