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 $18.20 Median $32.36 Typical High $32.36 | Facility | None | $18.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $32.36 Typical High $38.02 | Professional | None | $18.20 | $32.36 | $38.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $562.34 Typical High $1,174.90 | Facility | None | $208.93 | $562.34 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $53.70 Typical High $89.13 | Professional | None | $27.54 | $53.70 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $158.49 | Facility | None | $52.48 | $81.28 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $112.20 | Professional | None | $30.20 | $60.26 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $131.83 | Facility | None | $46.77 | $75.86 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $107.15 | Professional | None | $29.51 | $54.95 | $107.15 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $177.83 Typical High $1,148.15 | Facility | None | $38.02 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $338.84 | Professional | None | $36.31 | $74.13 | $338.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $22.39 Median $48.98 Typical High $102.33 | Professional | None | $22.39 | $48.98 | $102.33 |
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 $9.12 Median $16.22 Typical High $16.22 | Facility | 52 · Reduced service | $9.12 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $6.46 Typical High $6.46 | Facility | 53 · Discontinued | $3.63 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.69 Median $4.90 Typical High $4.90 | Facility | 55 · Aftercare only | $2.69 | $4.90 | $4.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.82 Median $3.24 Typical High $3.24 | Facility | 56 · Pre-op care only | $1.82 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $9.12 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $3.63 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.68 Typical High $4.90 | Professional | 55 · Aftercare only | $2.69 | $4.68 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $3.16 Typical High $3.24 | Professional | 56 · Pre-op care only | $1.82 | $3.16 | $3.24 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Virginia. 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
$53.70
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.