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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $257.04 | Facility | None | $69.18 | $107.15 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $63.10 Median $194.98 Typical High $239.88 | Professional | None | $63.10 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $257.04 | Facility | None | $104.71 | $165.96 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $89.13 | Professional | None | $70.79 | $77.62 | $89.13 |
Health Partners Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $257.04 | Facility | None | $93.33 | $151.36 | $257.04 |
Health Partners Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $128.82 | Facility | None | $69.18 | $69.18 | $128.82 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $302.00 | Professional | None | $69.18 | $69.18 | $302.00 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.47 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $74.13 Typical High $125.89 | Professional | 54 · Surgery only | $46.77 | $74.13 | $125.89 |
Where Minnesota sits
The same service costs 2.7 times more in North Dakota than in North Carolina. 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· 27th of 51
$89.13
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.