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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None | $363.08 | $363.08 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $389.05 Median $436.52 Typical High $660.69 | Facility | None | $389.05 | $436.52 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $446.68 | Professional | None | $354.81 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,479.11 Typical High $3,801.89 | Facility | None | $269.15 | $1,479.11 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $645.65 | Professional | None | $501.19 | $537.03 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $3,548.13 | Facility | None | $954.99 | $1,513.56 | $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 $245.47 Median $436.52 Typical High $2,344.23 | Facility | None | $245.47 | $436.52 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $2,818.38 | Professional | None | $173.78 | $323.59 | $2,818.38 |
United Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $588.84 | Facility | None | $281.84 | $288.40 | $588.84 |
United Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $436.52 | Professional | None | $144.54 | $257.04 | $436.52 |
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 $181.97 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 52 · Reduced service | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | 53 · Discontinued | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $38.90 |
Where Minnesota sits
The same service costs 3.3 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· 12th of 51
$437
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.