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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
BCBS Minnesota Setting Facility Modifier None Typical Low $524.81 Median $575.44 Typical High $891.25 | Facility | None | $524.81 | $575.44 | $891.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $588.84 | Professional | None | $467.74 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,949.84 Typical High $5,011.87 | Facility | None | $371.54 | $1,949.84 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $851.14 | Professional | None | $676.08 | $707.95 | $851.14 |
Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,258.93 | $1,995.26 | $4,677.35 |
Health Partners Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $602.56 Typical High $2,951.21 | Facility | None | $338.84 | $602.56 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $3,715.35 | Professional | None | $229.09 | $309.03 | $3,715.35 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $758.58 | Facility | None | $269.15 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $602.56 | Professional | None | $190.55 | $309.03 | $602.56 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $41.69 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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
$562
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.