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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $257.04 | Facility | None | $70.79 | $112.20 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $194.98 Typical High $239.88 | Professional | None | $64.57 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $141.25 | Facility | None | $57.54 | $91.20 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $48.98 | Professional | None | $38.90 | $42.66 | $48.98 |
Health Partners Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $141.25 | Facility | None | $51.29 | $83.18 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $70.79 Typical High $120.23 | Facility | None | $15.85 | $70.79 | $120.23 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $398.11 | Professional | None | $70.79 | $70.79 | $398.11 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
9 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 $37.15 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $14.45 Median $22.39 Typical High $125.89 | Professional | 54 · Surgery only | $14.45 | $22.39 | $125.89 |
Where Minnesota sits
The same service costs 2.0 times more in North Dakota than in Maryland. 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· 43rd of 51
$74.13
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.