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 $22.91 Median $53.70 Typical High $53.70 | Facility | None | $22.91 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $50.12 Typical High $54.95 | Professional | None | $22.91 | $50.12 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $660.69 | Facility | None | $79.43 | $213.80 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $40.74 Median $91.20 Typical High $169.82 | Professional | None | $40.74 | $91.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $281.84 | Facility | None | $91.20 | $144.54 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $239.88 | Professional | None | $53.70 | $109.65 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $234.42 | Facility | None | $83.18 | $134.90 | $234.42 |
Health Partners Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $208.93 | Professional | None | $48.98 | $95.50 | $208.93 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $173.78 Typical High $1,148.15 | Facility | None | $46.77 | $173.78 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $141.25 Typical High $316.23 | Professional | None | $61.66 | $141.25 | $316.23 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $1,778.28 | Facility | None | $125.89 | $354.81 | $1,778.28 |
United Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $190.55 | Professional | None | $37.15 | $81.28 | $190.55 |
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 $11.48 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $11.48 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $4.57 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.47 Median $7.94 Typical High $7.94 | Facility | 55 · Aftercare only | $3.47 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.37 Typical High $5.37 | Facility | 56 · Pre-op care only | $2.29 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $11.48 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $4.57 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $7.76 Typical High $7.94 | Professional | 55 · Aftercare only | $3.47 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.29 | $5.25 | $5.37 |
Where Minnesota sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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
$91.20
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.