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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | None | $933.25 | $954.99 | $954.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $776.25 | Facility | None | $251.19 | $489.78 | $776.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $398.11 | Professional | None | $181.97 | $213.80 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,862.09 | Facility | None | $758.58 | $1,202.26 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $645.65 | Professional | None | $512.86 | $537.03 | $645.65 |
Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,862.09 | Facility | None | $676.08 | $1,096.48 | $1,862.09 |
Health Partners Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,230.27 | Facility | None | $645.65 | $645.65 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $3,630.78 | Professional | None | $512.86 | $645.65 | $3,630.78 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 56 · Pre-op care only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $467.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $95.50 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $125.89 | $177.83 | $275.42 |
Where Minnesota sits
The same service costs 12.0 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· 23rd of 51
$501
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.