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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $257.04 | Facility | None | $100.00 | $131.83 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $251.19 | Professional | None | $97.72 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $331.13 | Facility | None | $134.90 | $213.80 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $112.20 | Professional | None | $89.13 | $100.00 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $323.59 | Facility | None | $120.23 | $190.55 | $323.59 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $100.00 | Facility | None | $52.48 | $52.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $1,288.25 | Professional | None | $52.48 | $52.48 | $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 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | 54 · Surgery only | $107.15 | $125.89 | $177.83 |
Where Minnesota sits
The same service costs 18.6 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· 40th 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.