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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $275.42 | Professional | None | $213.80 | $263.03 | $275.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $575.44 | Facility | None | $338.84 | $380.19 | $575.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $389.05 | Professional | None | $309.03 | $380.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $1,288.25 Typical High $3,311.31 | Facility | None | $208.93 | $1,288.25 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $562.34 | Professional | None | $436.52 | $467.74 | $562.34 |
Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $3,090.30 | Facility | None | $831.76 | $1,318.26 | $3,090.30 |
Health Partners Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $1,778.28 | Facility | None | $162.18 | $398.11 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $724.44 | Professional | None | $151.36 | $186.21 | $724.44 |
United Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $549.54 | Facility | None | $389.05 | $457.09 | $549.54 |
United Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $371.54 | Professional | None | $125.89 | $186.21 | $371.54 |
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 $131.83 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
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 $26.30 Median $26.30 Typical High $26.30 | Facility | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $27.54 |
Where Minnesota sits
The same service costs 2.4 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
$363
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.