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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | None | $309.03 | $309.03 | $346.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $562.34 | Facility | None | $331.13 | $363.08 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $371.54 | Professional | None | $295.12 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $1,230.27 Typical High $3,162.28 | Facility | None | $229.09 | $1,230.27 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $537.03 | Professional | None | $426.58 | $446.68 | $537.03 |
Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,951.21 | Facility | None | $794.33 | $1,258.93 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $363.08 Typical High $1,905.46 | Facility | None | $169.82 | $363.08 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $2,238.72 | Professional | None | $144.54 | $275.42 | $2,238.72 |
United Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $501.19 | Facility | None | $151.36 | $190.55 | $501.19 |
United Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $371.54 | Professional | None | $120.23 | $213.80 | $371.54 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | 52 · Reduced service | $154.88 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $32.36 |
Where Minnesota sits
The same service costs 2.7 times more in Montana 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· 10th of 51
$363
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.