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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $1,445.44 | Facility | None | $251.19 | $446.68 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $380.19 | Professional | None | $141.25 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $501.19 | Facility | None | $199.53 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | None | $134.90 | $141.25 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $489.78 | Facility | None | $177.83 | $288.40 | $489.78 |
Health Partners Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Facility | None | $41.69 | $41.69 | $77.62 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $3,981.07 | Professional | None | $41.69 | $41.69 | $3,981.07 |
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 $20.42 Median $20.42 Typical High $20.42 | Facility | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $77.62 Typical High $125.89 | Professional | 54 · Surgery only | $50.12 | $77.62 | $125.89 |
Where Minnesota sits
The same service costs 25.1 times more in Wyoming than in Kentucky. 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· 4th of 51
$158
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.