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 $10.00 Median $20.89 Typical High $20.89 | Facility | None | $10.00 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $20.89 | Professional | None | $10.00 | $16.22 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.46 Median $56.23 Typical High $102.33 | Facility | None | $6.46 | $56.23 | $102.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.45 Median $32.36 Typical High $53.70 | Professional | None | $14.45 | $32.36 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $91.20 | Facility | None | $30.20 | $46.77 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $38.02 Typical High $77.62 | Professional | None | $19.50 | $38.02 | $77.62 |
Health Partners Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $75.86 | Facility | None | $26.92 | $43.65 | $75.86 |
Health Partners Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $63.10 | Professional | None | $18.20 | $34.67 | $63.10 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $954.99 | Facility | None | $15.49 | $32.36 | $954.99 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $72.44 | Professional | None | $21.88 | $34.67 | $72.44 |
United Setting Professional Modifier None Typical Low $12.88 Median $28.84 Typical High $61.66 | Professional | None | $12.88 | $28.84 | $61.66 |
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 $5.01 Median $10.47 Typical High $10.47 | Facility | 52 · Reduced service | $5.01 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $4.17 Typical High $4.17 | Facility | 53 · Discontinued | $2.00 | $4.17 | $4.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.51 Median $3.09 Typical High $3.09 | Facility | 55 · Aftercare only | $1.51 | $3.09 | $3.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.00 Median $2.09 Typical High $2.09 | Facility | 56 · Pre-op care only | $1.00 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $10.23 Typical High $10.47 | Professional | 52 · Reduced service | $5.01 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $2.00 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $1.51 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $2.04 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.00 | $2.04 | $2.09 |
Where Minnesota sits
The same service costs 3.1 times more in Wisconsin than in Louisiana. 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· 3rd of 51
$30.20
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.