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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | None | $38.90 | $46.77 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $436.52 | Facility | None | $234.42 | $234.42 | $436.52 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $251.19 | Professional | None | $151.36 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $660.69 | Facility | None | $218.78 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | None | $147.91 | $154.88 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $549.54 | Facility | None | $194.98 | $316.23 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $79.43 | Facility | None | $46.77 | $46.77 | $79.43 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $177.83 | Professional | None | $38.90 | $38.90 | $177.83 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
8 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 $23.44 Median $23.44 Typical High $23.44 | Facility | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | 56 · Pre-op care only | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $19.50 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.76 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $5.89 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.89 | $4.68 | $4.68 |
Where Minnesota sits
The same service costs 4.8 times more in North Dakota than in Hawaii. 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· 2nd of 51
$151
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.