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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $1,445.44 | Facility | None | $251.19 | $363.08 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $309.03 | Professional | None | $147.91 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,380.38 | Facility | None | $549.54 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $467.74 | Professional | None | $371.54 | $380.19 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,348.96 | Facility | None | $489.78 | $794.33 | $1,348.96 |
Health Partners Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $676.08 | Facility | None | $354.81 | $354.81 | $676.08 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $2,818.38 | Professional | None | $354.81 | $354.81 | $2,818.38 |
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 $181.97 Median $181.97 Typical High $181.97 | Facility | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $138.04 Typical High $223.87 | Professional | 54 · Surgery only | $125.89 | $138.04 | $223.87 |
Where Minnesota sits
The same service costs 5.9 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· 10th of 51
$355
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.