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 $43.65 Median $66.07 Typical High $66.07 | Facility | None | $43.65 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $66.07 | Professional | None | $43.65 | $61.66 | $66.07 |
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 $69.18 Median $120.23 Typical High $194.98 | Professional | None | $69.18 | $120.23 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $323.59 | Facility | None | $107.15 | $165.96 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $234.42 | Professional | None | $72.44 | $138.04 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $269.15 | Facility | None | $95.50 | $154.88 | $269.15 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $218.78 | Professional | None | $70.79 | $123.03 | $218.78 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $177.83 Typical High $1,148.15 | Facility | None | $75.86 | $177.83 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $489.78 | Professional | None | $69.18 | $144.54 | $489.78 |
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 $51.29 Median $95.50 Typical High $194.98 | Professional | None | $51.29 | $95.50 | $194.98 |
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 $21.38 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $21.38 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $8.71 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $9.77 Typical High $9.77 | Facility | 55 · Aftercare only | $6.46 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.61 Typical High $6.61 | Facility | 56 · Pre-op care only | $4.37 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $21.38 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $8.71 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $9.55 Typical High $9.77 | Professional | 55 · Aftercare only | $6.46 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.31 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.37 | $6.31 | $6.61 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 4th of 51
$117
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.