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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $354.81 | Professional | None | $131.83 | $131.83 | $354.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $407.38 Typical High $645.65 | Facility | None | $251.19 | $407.38 | $645.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $338.84 | Professional | None | $186.21 | $223.87 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $1,479.11 | Facility | None | $588.84 | $933.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $501.19 | Professional | None | $398.11 | $416.87 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,445.44 | Facility | None | $524.81 | $851.14 | $1,445.44 |
Health Partners Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,819.70 | Professional | None | $478.63 | $478.63 | $1,819.70 |
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 $66.07 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $177.83 | Professional | 52 · Reduced service | $66.07 | $66.07 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $70.79 | Professional | 53 · Discontinued | $26.30 | $26.30 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $53.70 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $35.48 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $35.48 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $251.19 Typical High $407.38 | Professional | 54 · Surgery only | $125.89 | $251.19 | $407.38 |
Where Minnesota sits
The same service costs 4.1 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· 15th of 51
$282
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.