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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,148.15 | Facility | None | $676.08 | $741.31 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $758.58 | Professional | None | $616.60 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,511.89 Typical High $6,456.54 | Facility | None | $446.68 | $2,511.89 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,096.48 | Professional | None | $870.96 | $912.01 | $1,096.48 |
Health Partners Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,570.40 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $3,801.89 | Facility | None | $436.52 | $794.33 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $6,165.95 | Professional | None | $295.12 | $398.11 | $6,165.95 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Facility | None | $478.63 | $630.96 | $977.24 |
United Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $776.25 | Professional | None | $251.19 | $389.05 | $776.25 |
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 $263.03 Median $263.03 Typical High $263.03 | Facility | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Where Minnesota sits
The same service costs 4.6 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· 6th of 51
$741
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.