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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | None | $158.49 | $158.49 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $346.74 | Facility | None | $204.17 | $223.87 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $229.09 | Professional | None | $186.21 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $758.58 Typical High $1,949.84 | Facility | None | $141.25 | $758.58 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $331.13 | Professional | None | $263.03 | $275.42 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,862.09 | Facility | None | $489.78 | $776.25 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $1,258.93 | Facility | None | $138.04 | $234.42 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $3,388.44 | Professional | None | $89.13 | $125.89 | $3,388.44 |
United Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $389.05 | Facility | None | $151.36 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $245.47 | Professional | None | $75.86 | $123.03 | $245.47 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $31.62 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $16.60 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $16.60 |
Where Minnesota sits
The same service costs 8.1 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· 8th of 51
$224
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.