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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $478.63 | Professional | None | $436.52 | $478.63 | $478.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $512.86 Median $562.34 Typical High $870.96 | Facility | None | $512.86 | $562.34 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | None | $457.09 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,905.46 Typical High $4,897.79 | Facility | None | $363.08 | $1,905.46 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $831.76 | Professional | None | $660.69 | $691.83 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $4,570.88 | Facility | None | $1,230.27 | $1,949.84 | $4,570.88 |
Health Partners Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $562.34 Typical High $2,630.27 | Facility | None | $229.09 | $562.34 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $3,090.30 | Professional | None | $199.53 | $363.08 | $3,090.30 |
United Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $660.69 | Facility | None | $239.88 | $323.59 | $660.69 |
United Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $489.78 | Professional | None | $186.21 | $281.84 | $489.78 |
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 $234.42 Median $234.42 Typical High $234.42 | Facility | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $47.86 | $47.86 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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
$550
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.