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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $371.54 Median $407.38 Typical High $616.60 | Facility | None | $371.54 | $407.38 | $616.60 |
BCBS Minnesota Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $416.87 | Professional | None | $331.13 | $407.38 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $1,380.38 Typical High $3,548.13 | Facility | None | $245.47 | $1,380.38 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $602.56 | Professional | None | $467.74 | $501.19 | $602.56 |
Health Partners Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $3,311.31 | Facility | None | $891.25 | $1,412.54 | $3,311.31 |
Health Partners Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $407.38 Typical High $1,737.80 | Facility | None | $186.21 | $407.38 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $2,137.96 | Professional | None | $141.25 | $251.19 | $2,137.96 |
United Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $457.09 | Facility | None | $169.82 | $173.78 | $457.09 |
United Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $354.81 | Professional | None | $131.83 | $204.17 | $354.81 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Minnesota sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 2nd of 51
$398
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.