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 $30.90 Median $30.90 Typical High $43,651.58 | Facility | None | $30.90 | $30.90 | $43,651.58 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $24.55 Median $61.66 Typical High $257.04 | Facility | None | $24.55 | $61.66 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $24.55 Median $194.98 Typical High $239.88 | Professional | None | $24.55 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $93.33 | Facility | None | $37.15 | $60.26 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | None | $25.12 | $27.54 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $91.20 | Facility | None | $33.11 | $53.70 | $91.20 |
Health Partners Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $58.88 | Facility | None | $30.90 | $30.90 | $58.88 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $134.90 | Professional | None | $25.12 | $30.90 | $134.90 |
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 $15.49 Median $15.49 Typical High $15.49 | Facility | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | 55 · Aftercare only | $4.68 | $4.68 | $4.68 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $29.51 Typical High $125.89 | Professional | 54 · Surgery only | $18.62 | $29.51 | $125.89 |
Where Minnesota sits
The same service costs 4.2 times more in Wyoming than in Pennsylvania. 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· 42nd of 51
$33.11
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.