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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | None | $309.03 | $354.81 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $645.65 | Facility | None | $380.19 | $426.58 | $645.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | None | $346.74 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,445.44 Typical High $3,630.78 | Facility | None | $295.12 | $1,445.44 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $616.60 | Professional | None | $489.78 | $512.86 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $3,467.37 | Facility | None | $912.01 | $1,445.44 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $426.58 Typical High $1,995.26 | Facility | None | $173.78 | $426.58 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $812.83 | Professional | None | $169.82 | $281.84 | $812.83 |
United Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $512.86 | Facility | None | $186.21 | $229.09 | $512.86 |
United Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $380.19 | Professional | None | $141.25 | $223.87 | $380.19 |
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 $177.83 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $35.48 |
Where Minnesota sits
The same service costs 2.5 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· 9th of 51
$407
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.