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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | None | $34.67 | $35.48 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $257.04 | Facility | None | $33.88 | $48.98 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.88 Median $194.98 Typical High $239.88 | Professional | None | $33.88 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $128.82 | Facility | None | $52.48 | $83.18 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $43.65 | Professional | None | $34.67 | $38.02 | $43.65 |
Health Partners Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $125.89 | Facility | None | $45.71 | $74.13 | $125.89 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $64.57 | Facility | None | $33.88 | $33.88 | $64.57 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $112.20 | Professional | None | $33.88 | $33.88 | $112.20 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 55 · Aftercare only | $5.25 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.92 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.47 | $3.55 | $3.55 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $40.74 Typical High $125.89 | Professional | 54 · Surgery only | $26.30 | $40.74 | $125.89 |
Where Minnesota sits
The same service costs 4.2 times more in North Dakota than in Maryland. 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· 36th of 51
$43.65
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.