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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,388.44 | $4,168.69 | $4,168.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $457.09 Median $1,862.09 Typical High $4,897.79 | Facility | None | $457.09 | $1,862.09 | $4,897.79 |
BCBS Minnesota Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | None | $97.72 | $109.65 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $2,344.23 | Facility | None | $851.14 | $1,698.24 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Health Partners Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $2,454.71 | Facility | None | $660.69 | $1,621.81 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $4,073.80 Typical High $6,918.31 | Facility | None | $1,288.25 | $4,073.80 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $15,488.17 | Professional | None | $3,388.44 | $4,677.35 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,456.54 | Professional | None | $3,467.37 | $3,467.37 | $6,456.54 |
8 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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | 52 · Reduced service | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 53 · Discontinued | $831.76 | $831.76 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | 55 · Aftercare only | $630.96 | $630.96 | $630.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | 56 · Pre-op care only | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,698.24 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $630.96 Typical High $630.96 | Professional | 55 · Aftercare only | $501.19 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $338.84 | $416.87 | $416.87 |
Where Minnesota sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 49th of 51
$3,467
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.