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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | None | $134.90 | $134.90 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $245.47 | Facility | None | $144.54 | $158.49 | $245.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $537.03 Typical High $1,380.38 | Facility | None | $100.00 | $537.03 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $234.42 | Professional | None | $186.21 | $194.98 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,288.25 | Facility | None | $346.74 | $549.54 | $1,288.25 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $831.76 | Facility | None | $91.20 | $158.49 | $831.76 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $1,174.90 | Professional | None | $63.10 | $120.23 | $1,174.90 |
United Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $218.78 | Facility | None | $102.33 | $107.15 | $218.78 |
United Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $162.18 | Professional | None | $52.48 | $93.33 | $162.18 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 56 · Pre-op care only | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $13.49 |
Where Minnesota sits
The same service costs 4.1 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· 11th of 51
$158
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.