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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $912.01 Typical High $912.01 | Professional | None | $446.68 | $912.01 | $912.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $42.66 Typical High $239.88 | Facility | None | $40.74 | $42.66 | $239.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $42.66 | Professional | None | $34.67 | $41.69 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,862.09 | Facility | None | $1,000.00 | $1,412.54 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $616.60 | Professional | None | $489.78 | $537.03 | $616.60 |
Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,819.70 | Facility | None | $912.01 | $1,230.27 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $416.87 | Professional | None | $151.36 | $223.87 | $416.87 |
United Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $436.52 | Professional | None | $151.36 | $199.53 | $436.52 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $218.78 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $89.13 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $66.07 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $44.67 | $91.20 | $91.20 |
Where Minnesota sits
The same service costs 38.0 times more in Minnesota than in Connecticut. 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· 1st of 51
$479
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.