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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $389.05 | Facility | None | $234.42 | $257.04 | $389.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $257.04 | Professional | None | $181.97 | $208.93 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $933.25 | Facility | None | $380.19 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $933.25 | Facility | None | $338.84 | $549.54 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $371.54 | Facility | None | $194.98 | $194.98 | $371.54 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $4,786.30 | Professional | None | $194.98 | $194.98 | $4,786.30 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
9 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 $288.40 Median $288.40 Typical High $288.40 | Facility | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $125.89 | $177.83 | $295.12 |
Where Minnesota sits
The same service costs 9.1 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· 20th of 51
$251
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.