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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None | $199.53 | $199.53 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $436.52 | Facility | None | $257.04 | $281.84 | $436.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | None | $229.09 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $954.99 Typical High $2,454.71 | Facility | None | $169.82 | $954.99 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $416.87 | Professional | None | $331.13 | $346.74 | $416.87 |
Health Partners Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $2,344.23 | Facility | None | $616.60 | $977.24 | $2,344.23 |
Health Partners Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $1,445.44 | Facility | None | $165.96 | $288.40 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $2,344.23 | Professional | None | $112.20 | $151.36 | $2,344.23 |
United Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $371.54 | Facility | None | $181.97 | $229.09 | $371.54 |
United Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $295.12 | Professional | None | $95.50 | $151.36 | $295.12 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 56 · Pre-op care only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $39.81 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $20.89 |
Where Minnesota sits
The same service costs 4.7 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· 9th of 51
$275
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.