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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None | $186.21 | $208.93 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $380.19 | Facility | None | $223.87 | $251.19 | $380.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | None | $204.17 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $851.14 Typical High $2,137.96 | Facility | None | $165.96 | $851.14 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $363.08 | Professional | None | $288.40 | $309.03 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,041.74 | Facility | None | $549.54 | $870.96 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $1,122.02 | Facility | None | $114.82 | $251.19 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $1,348.96 | Professional | None | $100.00 | $158.49 | $1,348.96 |
United Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $288.40 | Facility | None | $138.04 | $141.25 | $288.40 |
United Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $218.78 | Professional | None | $83.18 | $123.03 | $218.78 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Where Minnesota sits
The same service costs 2.8 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· 8th of 51
$240
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.