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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,778.28 | $1,778.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,584.89 | Facility | None | $891.25 | $1,047.13 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $891.25 | Professional | None | $707.95 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,951.21 Typical High $7,413.10 | Facility | None | $478.63 | $2,951.21 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,071.52 | $1,258.93 |
Health Partners Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $7,079.46 | Facility | None | $1,905.46 | $3,019.95 | $7,079.46 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $4,073.80 | Facility | None | $870.96 | $1,258.93 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $4,365.16 | Professional | None | $346.74 | $575.44 | $4,365.16 |
United Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $776.25 | Professional | None | $288.40 | $457.09 | $776.25 |
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 $870.96 Median $870.96 Typical High $870.96 | Facility | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | 55 · Aftercare only | $263.03 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $724.44 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $288.40 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $218.78 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $144.54 | $177.83 | $177.83 |
Where Minnesota sits
The same service costs 3.2 times more in Michigan than in Ohio. 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
$891
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.