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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | None | $562.34 | $630.96 | $630.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,148.15 | Facility | None | $676.08 | $758.58 | $1,148.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None | $616.60 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $2,570.40 Typical High $6,606.93 | Facility | None | $398.11 | $2,570.40 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,122.02 | Professional | None | $870.96 | $933.25 | $1,122.02 |
Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $6,165.95 | Facility | None | $1,659.59 | $2,630.27 | $6,165.95 |
Health Partners Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $758.58 Typical High $3,311.31 | Facility | None | $275.42 | $758.58 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $3,630.78 | Professional | None | $288.40 | $478.63 | $3,630.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $851.14 | Facility | None | $363.08 | $363.08 | $851.14 |
United Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $660.69 | Professional | None | $245.47 | $380.19 | $660.69 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | 52 · Reduced service | $316.23 | $316.23 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 56 · Pre-op care only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $288.40 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $117.49 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $57.54 | $63.10 | $63.10 |
Where Minnesota sits
The same service costs 2.8 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· 3rd 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.