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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $1,288.25 | Facility | None | $758.58 | $851.14 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | None | $691.83 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $2,884.03 Typical High $7,413.10 | Facility | None | $398.11 | $2,884.03 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,258.93 | Professional | None | $977.24 | $1,047.13 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $6,918.31 | Facility | None | $1,862.09 | $2,951.21 | $6,918.31 |
Health Partners Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $851.14 Typical High $3,630.78 | Facility | None | $371.54 | $851.14 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $4,265.80 | Professional | None | $281.84 | $489.78 | $4,265.80 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $870.96 | Facility | None | $371.54 | $371.54 | $870.96 |
United Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $707.95 | Professional | None | $251.19 | $426.58 | $707.95 |
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 $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $346.74 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Where Minnesota sits
The same service costs 2.8 times more in Wisconsin than in Florida. 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
$832
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.