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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $173.78 | Professional | None | $134.90 | $165.96 | $173.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $363.08 | Facility | None | $213.80 | $239.88 | $363.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $245.47 | Professional | None | $194.98 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $812.83 Typical High $2,089.30 | Facility | None | $151.36 | $812.83 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $354.81 | Professional | None | $275.42 | $295.12 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,949.84 | Facility | None | $524.81 | $831.76 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $1,122.02 | Facility | None | $107.15 | $245.47 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $457.09 | Professional | None | $95.50 | $120.23 | $457.09 |
United Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $346.74 | Facility | None | $245.47 | $288.40 | $346.74 |
United Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $234.42 | Professional | None | $79.43 | $117.49 | $234.42 |
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 $83.18 Median $83.18 Typical High $83.18 | Facility | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | 55 · Aftercare only | $25.12 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 56 · Pre-op care only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $17.38 |
Where Minnesota sits
The same service costs 2.1 times more in Hawaii than in Utah. 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
$229
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.