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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | None | $12.02 | $12.02 | $12.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $72.44 Median $724.44 Typical High $1,659.59 | Facility | None | $72.44 | $724.44 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $40.74 | Professional | None | $17.78 | $23.99 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $56.23 | Facility | None | $19.05 | $29.51 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $53.70 | Professional | None | $21.88 | $33.88 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $47.86 | Facility | None | $16.98 | $27.54 | $47.86 |
Health Partners Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $46.77 | Professional | None | $19.05 | $30.90 | $46.77 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $323.59 Typical High $1,445.44 | Facility | None | $21.88 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $660.69 | Professional | None | $14.79 | $26.92 | $660.69 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $50.12 | Professional | None | $13.49 | $25.12 | $50.12 |
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 $6.03 Median $6.03 Typical High $6.03 | Facility | 52 · Reduced service | $6.03 | $6.03 | $6.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | 53 · Discontinued | $2.40 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | 55 · Aftercare only | $1.78 | $1.78 | $1.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.20 | Facility | 56 · Pre-op care only | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.23 |
Where Minnesota sits
The same service costs 12.3 times more in Florida than in Kentucky. 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· 9th of 51
$26.92
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.