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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $933.25 Typical High $1,513.56 | Facility | None | $251.19 | $933.25 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $794.33 | Professional | None | $151.36 | $208.93 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $3,548.13 | Facility | None | $1,445.44 | $2,290.87 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,230.27 | Professional | None | $977.24 | $1,000.00 | $1,230.27 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,467.37 | Facility | None | $1,288.25 | $2,041.74 | $3,467.37 |
Health Partners Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,380.38 | Facility | None | $724.44 | $724.44 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $5,754.40 | Professional | None | $724.44 | $724.44 | $5,754.40 |
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 $338.84 Median $338.84 Typical High $338.84 | Facility | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Where Minnesota sits
The same service costs 12.6 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· 11th of 51
$676
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.