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 $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | None | $79.43 | $79.43 | $85.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $676.08 | Facility | None | $208.93 | $407.38 | $676.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $112.20 Median $213.80 Typical High $338.84 | Professional | None | $112.20 | $213.80 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $954.99 | Facility | None | $208.93 | $323.59 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $190.55 | Professional | None | $109.65 | $128.82 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $741.31 | Facility | None | $190.55 | $316.23 | $741.31 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $165.96 | Professional | None | $107.15 | $117.49 | $165.96 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $416.87 | Facility | None | $123.03 | $154.88 | $416.87 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $263.03 Typical High $588.84 | Professional | None | $97.72 | $263.03 | $588.84 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $602.56 | Facility | None | $426.58 | $467.74 | $602.56 |
United Setting Professional Modifier None Typical Low $60.26 Median $177.83 Typical High $275.42 | Professional | None | $60.26 | $177.83 | $275.42 |
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 $39.81 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $39.81 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $17.38 | Facility | 53 · Discontinued | $15.85 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $11.75 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.51 Typical High $8.51 | Facility | 56 · Pre-op care only | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.51 |
Where Minnesota sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 7th of 51
$148
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.