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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $288.40 | Professional | None | $199.53 | $288.40 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $524.81 | Facility | None | $309.03 | $346.74 | $524.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | None | $281.84 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $1,174.90 Typical High $2,951.21 | Facility | None | $162.18 | $1,174.90 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $512.86 | Professional | None | $398.11 | $426.58 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,202.26 | $2,818.38 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $1,318.26 | Facility | None | $147.91 | $346.74 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $1,698.24 | Professional | None | $114.82 | $194.98 | $1,698.24 |
United Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $354.81 | Facility | None | $104.71 | $128.82 | $354.81 |
United Setting Professional Modifier None Typical Low $100.00 Median $173.78 Typical High $288.40 | Professional | None | $100.00 | $173.78 | $288.40 |
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 $144.54 Median $144.54 Typical High $144.54 | Facility | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | 55 · Aftercare only | $43.65 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $141.25 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.18 | $28.84 | $28.84 |
Where Minnesota sits
The same service costs 2.8 times more in Minnesota 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· 1st of 51
$331
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.