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 $281.84 Median $295.12 Typical High $295.12 | Facility | None | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | None | $218.78 | $295.12 | $295.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $645.65 | Facility | None | $380.19 | $426.58 | $645.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $436.52 | Professional | None | $346.74 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $1,445.44 Typical High $3,630.78 | Facility | None | $229.09 | $1,445.44 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $630.96 | Professional | None | $489.78 | $524.81 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $3,467.37 | Facility | None | $933.25 | $1,479.11 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $426.58 Typical High $1,905.46 | Facility | None | $204.17 | $426.58 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $2,398.83 | Professional | None | $154.88 | $190.55 | $2,398.83 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $467.74 | Facility | None | $229.09 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $371.54 | Professional | None | $131.83 | $190.55 | $371.54 |
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 $147.91 Median $147.91 Typical High $147.91 | Facility | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $29.51 |
Where Minnesota sits
The same service costs 3.5 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· 4th of 51
$389
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.