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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $707.95 | Facility | None | $416.87 | $467.74 | $707.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $467.74 | Professional | None | $380.19 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,584.89 Typical High $3,981.07 | Facility | None | $302.00 | $1,584.89 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $676.08 | Professional | None | $537.03 | $562.34 | $676.08 |
Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $3,801.89 | Facility | None | $1,000.00 | $1,584.89 | $3,801.89 |
Health Partners Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $467.74 Typical High $2,137.96 | Facility | None | $218.78 | $467.74 | $2,137.96 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $2,511.89 | Professional | None | $169.82 | $309.03 | $2,511.89 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $549.54 | Facility | None | $251.19 | $251.19 | $549.54 |
United Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $416.87 | Professional | None | $154.88 | $239.88 | $416.87 |
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 $194.98 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
Where Minnesota sits
The same service costs 2.5 times more in Hawaii than in Pennsylvania. 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· 5th of 51
$457
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.