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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $616.60 | Facility | None | $363.08 | $407.38 | $616.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | None | $331.13 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $1,380.38 Typical High $3,467.37 | Facility | None | $263.03 | $1,380.38 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $588.84 | Professional | None | $467.74 | $501.19 | $588.84 |
Health Partners Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $3,311.31 | Facility | None | $870.96 | $1,380.38 | $3,311.31 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $2,290.87 | Facility | None | $204.17 | $416.87 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $2,691.53 | Professional | None | $162.18 | $302.00 | $2,691.53 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $549.54 | Facility | None | $263.03 | $263.03 | $549.54 |
United Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $416.87 | Professional | None | $134.90 | $234.42 | $416.87 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $38.90 |
Where Minnesota sits
The same service costs 3.0 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· 16th of 51
$398
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.