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 $128.82 Median $128.82 Typical High $4,265.80 | Facility | None | $128.82 | $128.82 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $234.42 Median $1,737.80 Typical High $4,168.69 | Facility | None | $234.42 | $1,737.80 | $4,168.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $194.98 Typical High $239.88 | Professional | None | $32.36 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $660.69 | Facility | None | $218.78 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | None | $147.91 | $154.88 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $549.54 | Facility | None | $194.98 | $316.23 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $8,128.31 | Facility | None | $234.42 | $234.42 | $8,128.31 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $23.99 Typical High $38.90 | Professional | 54 · Surgery only | $18.62 | $23.99 | $38.90 |
Where Minnesota sits
The same service costs 5.9 times more in North Dakota than in New York. 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· 4th of 51
$148
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.