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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $371.54 | Professional | None | $302.00 | $309.03 | $371.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $562.34 | Facility | None | $338.84 | $371.54 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | None | $302.00 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $1,258.93 Typical High $3,235.94 | Facility | None | $177.83 | $1,258.93 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $549.54 | Professional | None | $426.58 | $457.09 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $812.83 Median $1,288.25 Typical High $3,019.95 | Facility | None | $812.83 | $1,288.25 | $3,019.95 |
Health Partners Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $371.54 Typical High $1,513.56 | Facility | None | $158.49 | $371.54 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $1,819.70 | Professional | None | $123.03 | $208.93 | $1,819.70 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $309.03 | Professional | None | $109.65 | $186.21 | $309.03 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $45.71 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.20 | $30.90 | $30.90 |
Where Minnesota sits
The same service costs 3.5 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· 3rd of 51
$363
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.