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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Professional | None | $602.56 | $630.96 | $630.96 |
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 $741.31 Typical High $758.58 | Professional | None | $616.60 | $741.31 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,511.89 Typical High $6,456.54 | Facility | None | $489.78 | $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 $371.54 Median $741.31 Typical High $3,311.31 | Facility | None | $371.54 | $741.31 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $4,365.16 | Professional | None | $275.42 | $489.78 | $4,365.16 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $891.25 | Facility | None | $165.96 | $323.59 | $891.25 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $660.69 | Professional | None | $251.19 | $380.19 | $660.69 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Where Minnesota sits
The same service costs 2.4 times more in Iowa than in Kansas. 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· 5th of 51
$692
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.