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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $912.01 | Professional | None | $676.08 | $912.01 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,659.59 | Facility | None | $977.24 | $1,071.52 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,096.48 | Professional | None | $870.96 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,630.78 Typical High $9,332.54 | Facility | None | $691.83 | $3,630.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,318.26 | $1,584.89 |
Health Partners Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $8,709.64 | Facility | None | $2,344.23 | $3,715.35 | $8,709.64 |
Health Partners Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $4,466.84 | Facility | None | $398.11 | $1,071.52 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $5,495.41 | Professional | None | $354.81 | $616.60 | $5,495.41 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,122.02 | Facility | None | $398.11 | $501.19 | $1,122.02 |
United Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $891.25 | Professional | None | $323.59 | $537.03 | $891.25 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $380.19 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $114.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $91.20 | $91.20 |
Where Minnesota sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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
$1,023
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.