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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | None | $263.03 | $302.00 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $660.69 | Facility | None | $389.05 | $426.58 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | None | $354.81 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $1,445.44 Typical High $3,715.35 | Facility | None | $263.03 | $1,445.44 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $630.96 | Professional | None | $501.19 | $524.81 | $630.96 |
Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $3,548.13 | Facility | None | $933.25 | $1,479.11 | $3,548.13 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $426.58 Typical High $2,238.72 | Facility | None | $138.04 | $426.58 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $891.25 | Professional | None | $169.82 | $229.09 | $891.25 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $562.34 | Facility | None | $213.80 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $446.68 | Professional | None | $144.54 | $229.09 | $446.68 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $30.90 |
Where Minnesota sits
The same service costs 4.7 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· 7th of 51
$407
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.