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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $645.65 | Professional | None | $478.63 | $645.65 | $645.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $1,174.90 | Facility | None | $691.83 | $776.25 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $794.33 | Professional | None | $630.96 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,630.27 Typical High $6,760.83 | Facility | None | $501.19 | $2,630.27 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,148.15 | Professional | None | $891.25 | $954.99 | $1,148.15 |
Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $6,309.57 | Facility | None | $1,698.24 | $2,691.53 | $6,309.57 |
Health Partners Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $776.25 Typical High $3,090.30 | Facility | None | $295.12 | $776.25 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $3,630.78 | Professional | None | $257.04 | $436.52 | $3,630.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $645.65 | Professional | None | $223.87 | $389.05 | $645.65 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $56.23 | $64.57 | $64.57 |
Where Minnesota sits
The same service costs 2.3 times more in Wisconsin than in Florida. 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· 2nd of 51
$741
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.