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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | None | $97.72 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $223.87 | Facility | None | $134.90 | $147.91 | $223.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None | $120.23 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $501.19 Typical High $1,288.25 | Facility | None | $104.71 | $501.19 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $218.78 | Professional | None | $169.82 | $181.97 | $218.78 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $1,202.26 | Facility | None | $323.59 | $512.86 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $147.91 Typical High $676.08 | Facility | None | $77.62 | $147.91 | $676.08 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $831.76 | Professional | None | $56.23 | $70.79 | $831.76 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $173.78 | Facility | None | $75.86 | $85.11 | $173.78 |
United Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $138.04 | Professional | None | $48.98 | $70.79 | $138.04 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Where Minnesota sits
The same service costs 3.0 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· 4th of 51
$145
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.