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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $269.15 | Professional | None | $234.42 | $269.15 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $346.74 Median $380.19 Typical High $588.84 | Facility | None | $346.74 | $380.19 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $389.05 | Professional | None | $316.23 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $1,288.25 Typical High $3,311.31 | Facility | None | $213.80 | $1,288.25 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $562.34 | Professional | None | $446.68 | $467.74 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $3,162.28 | Facility | None | $831.76 | $1,318.26 | $3,162.28 |
Health Partners Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $1,862.09 | Facility | None | $208.93 | $389.05 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $2,818.38 | Professional | None | $151.36 | $190.55 | $2,818.38 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $467.74 | Facility | None | $229.09 | $257.04 | $467.74 |
United Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $380.19 | Professional | None | $128.82 | $190.55 | $380.19 |
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 $134.90 Median $134.90 Typical High $134.90 | Facility | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Minnesota sits
The same service costs 4.4 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
$372
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.