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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Facility | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $109.65 Typical High $1,230.27 | Facility | None | $39.81 | $109.65 | $1,230.27 |
BCBS Minnesota Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
BCBS Minnesota Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $363.08 | Facility | None | $85.11 | $128.82 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $51.29 | Professional | None | $40.74 | $41.69 | $51.29 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $288.40 | Facility | None | $75.86 | $120.23 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $8.71 Typical High $77.62 | Facility | None | $7.24 | $8.71 | $77.62 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | None | $23.99 | $23.99 | $31.62 |
United Setting Facility Modifier None Typical Low $95.50 Median $102.33 Typical High $134.90 | Facility | None | $95.50 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | None | $23.99 | $23.99 | $31.62 |
6 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 $3.47 Median $3.47 Typical High $3.47 | Facility | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.02 Median $1.02 Typical High $1.02 | Facility | 55 · Aftercare only | $1.02 | $1.02 | $1.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.69 Median $0.69 Typical High $0.69 | Facility | 56 · Pre-op care only | $0.69 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.69 | $0.69 | $0.69 |
Where Minnesota sits
The same service costs 11.7 times more in New York 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· 5th of 51
$40.74
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.