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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Professional | None | $363.08 | $407.38 | $407.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $741.31 | Facility | None | $436.52 | $489.78 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | None | $398.11 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $1,659.59 Typical High $4,265.80 | Facility | None | $316.23 | $1,659.59 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $724.44 | Professional | None | $562.34 | $602.56 | $724.44 |
Health Partners Setting Facility Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $3,981.07 | Facility | None | $1,071.52 | $1,698.24 | $3,981.07 |
Health Partners Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $489.78 Typical High $2,290.87 | Facility | None | $223.87 | $489.78 | $2,290.87 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $2,570.40 | Professional | None | $181.97 | $331.13 | $2,570.40 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $602.56 | Facility | None | $213.80 | $257.04 | $602.56 |
United Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $446.68 | Professional | None | $162.18 | $257.04 | $446.68 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Where Minnesota sits
The same service costs 2.5 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· 4th of 51
$479
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.