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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $87.10 Median $134.90 Typical High $257.04 | Facility | None | $87.10 | $134.90 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $87.10 Median $194.98 Typical High $239.88 | Professional | None | $87.10 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $323.59 | Facility | None | $131.83 | $208.93 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | None | $89.13 | $97.72 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $323.59 | Facility | None | $117.49 | $190.55 | $323.59 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Facility | None | $79.43 | $79.43 | $151.36 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $1,288.25 | Professional | None | $79.43 | $79.43 | $1,288.25 |
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 $39.81 Median $39.81 Typical High $39.81 | Facility | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 56 · Pre-op care only | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $7.94 |
Where Minnesota sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 37th of 51
$112
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.