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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | None | $93.33 | $95.50 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $257.04 | Facility | None | $69.18 | $107.15 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $194.98 Typical High $239.88 | Professional | None | $61.66 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $257.04 | Facility | None | $104.71 | $165.96 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $89.13 | Professional | None | $70.79 | $77.62 | $89.13 |
Health Partners Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $257.04 | Facility | None | $93.33 | $151.36 | $257.04 |
Health Partners Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $128.82 | Facility | None | $67.61 | $67.61 | $128.82 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $302.00 | Professional | None | $67.61 | $67.61 | $302.00 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 55 · Aftercare only | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $46.77 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $9.55 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $60.26 Typical High $125.89 | Professional | 54 · Surgery only | $38.90 | $60.26 | $125.89 |
Where Minnesota sits
The same service costs 2.1 times more in Alaska than in Montana. 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· 39th of 51
$95.50
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.