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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $602.56 | Professional | None | $537.03 | $602.56 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,096.48 | Facility | None | $660.69 | $724.44 | $1,096.48 |
BCBS Minnesota Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | None | $588.84 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $2,454.71 Typical High $6,309.57 | Facility | None | $467.74 | $2,454.71 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,071.52 | Professional | None | $831.76 | $891.25 | $1,071.52 |
Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,584.89 | $2,511.89 | $5,888.44 |
Health Partners Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $3,311.31 | Facility | None | $281.84 | $724.44 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $3,981.07 | Professional | None | $263.03 | $467.74 | $3,981.07 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $630.96 | Professional | None | $239.88 | $371.54 | $630.96 |
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 $302.00 Median $302.00 Typical High $302.00 | Facility | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $53.70 | $60.26 | $60.26 |
Where Minnesota sits
The same service costs 2.9 times more in Hawaii than in Florida. 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· 4th of 51
$708
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.