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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $977.24 | Facility | None | $575.44 | $645.65 | $977.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | None | $524.81 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $2,187.76 Typical High $5,495.41 | Facility | None | $416.87 | $2,187.76 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $933.25 | Professional | None | $741.31 | $776.25 | $933.25 |
Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $5,248.07 | Facility | None | $1,380.38 | $2,187.76 | $5,248.07 |
Health Partners Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $645.65 Typical High $3,388.44 | Facility | None | $295.12 | $645.65 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $478.63 Typical High $4,786.30 | Professional | None | $257.04 | $478.63 | $4,786.30 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $870.96 | Facility | None | $426.58 | $467.74 | $870.96 |
United Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $645.65 | Professional | None | $213.80 | $363.08 | $645.65 |
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 $269.15 Median $269.15 Typical High $269.15 | Facility | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Minnesota sits
The same service costs 3.9 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· 5th of 51
$646
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.