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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None | $151.36 | $158.49 | $158.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $316.23 | Facility | None | $158.49 | $257.04 | $316.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $239.88 | Professional | None | $134.90 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $602.56 | Facility | None | $239.88 | $389.05 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $204.17 | Professional | None | $162.18 | $169.82 | $204.17 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $588.84 | Facility | None | $213.80 | $346.74 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $288.40 | Facility | None | $151.36 | $151.36 | $288.40 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | None | $151.36 | $151.36 | $691.83 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 56 · Pre-op care only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.49 | $15.85 | $15.85 |
Where Minnesota sits
The same service costs 2.9 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
$162
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.