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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $257.04 | Facility | None | $95.50 | $151.36 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $251.19 | Professional | None | $91.20 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $363.08 | Facility | None | $144.54 | $229.09 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $123.03 | Professional | None | $97.72 | $107.15 | $123.03 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $354.81 | Facility | None | $128.82 | $208.93 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $151.36 | Facility | None | $81.28 | $81.28 | $151.36 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $562.34 | Professional | None | $81.28 | $81.28 | $562.34 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $91.20 | $125.89 | $151.36 |
Where Minnesota sits
The same service costs 1.9 times more in Alaska than in New York. 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· 32nd of 51
$123
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.