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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $154.88 | Professional | None | $141.25 | $147.91 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Facility | None | $190.55 | $208.93 | $323.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $213.80 | Professional | None | $169.82 | $208.93 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $724.44 Typical High $1,819.70 | Facility | None | $141.25 | $724.44 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $309.03 | Professional | None | $245.47 | $257.04 | $309.03 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,698.24 | Facility | None | $457.09 | $724.44 | $1,698.24 |
Health Partners Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $977.24 | Facility | None | $120.23 | $218.78 | $977.24 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $398.11 | Professional | None | $83.18 | $104.71 | $398.11 |
United Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $309.03 | Facility | None | $218.78 | $257.04 | $309.03 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $204.17 | Professional | None | $69.18 | $104.71 | $204.17 |
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 $74.13 Median $74.13 Typical High $74.13 | Facility | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $15.49 |
Where Minnesota sits
The same service costs 2.0 times more in Wyoming than in New Jersey. 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
$204
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.