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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | None | $47.86 | $47.86 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $1,659.59 | Facility | None | $269.15 | $724.44 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $162.18 | Professional | None | $69.18 | $93.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $223.87 | Facility | None | $75.86 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $213.80 | Professional | None | $87.10 | $134.90 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $190.55 | Facility | None | $67.61 | $109.65 | $190.55 |
Health Partners Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $186.21 | Professional | None | $75.86 | $123.03 | $186.21 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $323.59 Typical High $1,445.44 | Facility | None | $81.28 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $660.69 | Professional | None | $57.54 | $107.15 | $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 $53.70 Median $100.00 Typical High $194.98 | Professional | None | $53.70 | $100.00 | $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 $23.99 Median $23.99 Typical High $23.99 | Facility | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Where Minnesota sits
The same service costs 4.7 times more in Wisconsin 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· 8th of 51
$107
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.