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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | None | $549.54 | $549.54 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,202.26 | Facility | None | $707.95 | $794.33 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | None | $645.65 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,691.53 Typical High $6,918.31 | Facility | None | $489.78 | $2,691.53 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,174.90 | Professional | None | $912.01 | $977.24 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $6,456.54 | Facility | None | $1,737.80 | $2,754.23 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $4,168.69 | Facility | None | $338.84 | $831.76 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $5,011.87 | Professional | None | $316.23 | $436.52 | $5,011.87 |
United Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $1,071.52 | Facility | None | $478.63 | $524.81 | $1,071.52 |
United Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $851.14 | Professional | None | $263.03 | $426.58 | $851.14 |
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 $275.42 Median $275.42 Typical High $275.42 | Facility | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 56 · Pre-op care only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 52 · Reduced service | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | 53 · Discontinued | $109.65 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $57.54 |
Where Minnesota sits
The same service costs 3.2 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· 11th of 51
$776
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.