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 $144.54 Median $588.84 Typical High $1,621.81 | Facility | None | $144.54 | $588.84 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | None | $208.93 | $208.93 | $316.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $776.25 | Facility | None | $165.96 | $181.97 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None | $112.20 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $630.96 | Facility | None | $208.93 | $323.59 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | None | $141.25 | $158.49 | $177.83 |
Health Partners Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $524.81 | Facility | None | $186.21 | $302.00 | $524.81 |
Health Partners Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $398.11 Typical High $691.83 | Facility | None | $141.25 | $398.11 | $691.83 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $457.09 Median $489.78 Typical High $645.65 | Facility | None | $457.09 | $489.78 | $645.65 |
United Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | None | $218.78 | $218.78 | $281.84 |
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 $104.71 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $104.71 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $31.62 |
Where Minnesota sits
The same service costs 5.2 times more in Alaska than in Georgia. 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· 13th of 51
$209
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.