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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | None | $380.19 | $380.19 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $831.76 | Facility | None | $489.78 | $549.54 | $831.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $562.34 | Professional | None | $446.68 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,862.09 Typical High $4,786.30 | Facility | None | $295.12 | $1,862.09 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $812.83 | Professional | None | $630.96 | $676.08 | $812.83 |
Health Partners Setting Facility Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $4,466.84 | Facility | None | $1,202.26 | $1,905.46 | $4,466.84 |
Health Partners Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $549.54 Typical High $2,570.40 | Facility | None | $288.40 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $3,630.78 | Professional | None | $213.80 | $263.03 | $3,630.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $645.65 | Facility | None | $316.23 | $346.74 | $645.65 |
United Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $512.86 | Professional | None | $181.97 | $263.03 | $512.86 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | 52 · Reduced service | $190.55 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 53 · Discontinued | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.90 |
Where Minnesota sits
The same service costs 4.2 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· 6th of 51
$525
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.