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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $147.91 Typical High $257.04 | Facility | None | $93.33 | $147.91 | $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 $144.54 Median $229.09 Typical High $724.44 | Facility | None | $144.54 | $229.09 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $123.03 | Professional | None | $97.72 | $107.15 | $123.03 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $380.19 | Facility | None | $128.82 | $208.93 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
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 $93.33 Median $100.00 Typical High $1,071.52 | Professional | None | $93.33 | $100.00 | $1,071.52 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 56 · Pre-op care only | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $10.23 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $125.89 Typical High $199.53 | Professional | 54 · Surgery only | $123.03 | $125.89 | $199.53 |
Where Minnesota sits
The same service costs 2.5 times more in Wyoming than in New Jersey. 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· 33rd of 51
$123
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.