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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $257.04 | Facility | None | $102.33 | $173.78 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $239.88 | Professional | None | $93.33 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $389.05 | Facility | None | $154.88 | $251.19 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $131.83 | Professional | None | $104.71 | $114.82 | $131.83 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $380.19 | Facility | None | $138.04 | $223.87 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $190.55 | Facility | None | $100.00 | $100.00 | $190.55 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $512.86 | Professional | None | $100.00 | $100.00 | $512.86 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $95.50 Typical High $125.89 | Professional | 54 · Surgery only | $61.66 | $95.50 | $125.89 |
Where Minnesota sits
The same service costs 2.4 times more in Wyoming 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· 30th of 51
$126
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.