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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $660.69 | Professional | None | $562.34 | $660.69 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,202.26 | Facility | None | $707.95 | $776.25 | $1,202.26 |
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 $912.01 Median $954.99 Typical High $1,148.15 | Professional | None | $912.01 | $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 $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $776.25 Typical High $3,090.30 | Facility | None | $263.03 | $776.25 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $3,890.45 | Professional | None | $288.40 | $436.52 | $3,890.45 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $794.33 | Facility | None | $389.05 | $389.05 | $794.33 |
United Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $645.65 | Professional | None | $229.09 | $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 $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
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 $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $112.20 | $131.83 | $131.83 |
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 $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $56.23 | $66.07 | $66.07 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Washington, DC. 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
$759
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.