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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $57.54 | Professional | None | $47.86 | $57.54 | $57.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $1,348.96 Typical High $2,137.96 | Facility | None | $251.19 | $1,348.96 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $1,148.15 | Professional | None | $151.36 | $208.93 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $562.34 | Facility | None | $223.87 | $363.08 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $190.55 | Professional | None | $151.36 | $158.49 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $549.54 | Facility | None | $199.53 | $323.59 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $147.91 | Facility | None | $95.50 | $147.91 | $147.91 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $1,584.89 Typical High $2,137.96 | Professional | None | $61.66 | $1,584.89 | $2,137.96 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $7.08 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.79 | $5.75 | $5.75 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $177.83 | $295.12 |
Where Minnesota sits
The same service costs 5.1 times more in North Dakota 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· 3rd of 51
$191
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.