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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | None | $81.28 | $83.18 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $257.04 Median $269.15 Typical High $1,479.11 | Facility | None | $257.04 | $269.15 | $1,479.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $269.15 | Professional | None | $213.80 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $407.38 Typical High $1,023.29 | Facility | None | $56.23 | $407.38 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $173.78 | Professional | None | $138.04 | $144.54 | $173.78 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $954.99 | Facility | None | $257.04 | $407.38 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $223.87 Typical High $645.65 | Facility | None | $61.66 | $223.87 | $645.65 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $338.84 | Professional | None | $64.57 | $91.20 | $338.84 |
United Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $162.18 | Professional | None | $52.48 | $85.11 | $162.18 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.13 | $8.32 | $8.32 |
Where Minnesota sits
The same service costs 4.9 times more in North Dakota 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· 10th of 51
$138
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.