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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,995.26 | $2,041.74 | $2,041.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $1,995.26 Typical High $2,754.23 | Facility | None | $251.19 | $1,995.26 | $2,754.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $489.78 | Professional | None | $151.36 | $199.53 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $7,585.78 | Facility | None | $3,090.30 | $4,897.79 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,137.96 | $2,630.27 |
Health Partners Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $7,413.10 | Facility | None | $2,754.23 | $4,466.84 | $7,413.10 |
Health Partners Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,715.35 | Facility | None | $1,949.84 | $1,949.84 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $6,760.83 | Professional | None | $1,949.84 | $1,949.84 | $6,760.83 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,000.00 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $295.12 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $199.53 | $204.17 | $204.17 |
Where Minnesota sits
The same service costs 19.5 times more in Alaska 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· 17th of 51
$1,950
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.