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 $41.69 Median $42.66 Typical High $81.28 | Facility | None | $41.69 | $42.66 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | None | $41.69 | $41.69 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $79.43 Typical High $87.10 | Facility | None | $39.81 | $79.43 | $87.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $40.74 | Professional | None | $32.36 | $36.31 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $100.00 Typical High $134.90 | Facility | None | $48.98 | $100.00 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $43.65 Typical High $47.86 | Professional | None | $38.02 | $43.65 | $47.86 |
Health Partners Setting Facility Modifier None Typical Low $38.90 Median $95.50 Typical High $141.25 | Facility | None | $38.90 | $95.50 | $141.25 |
Health Partners Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $67.61 | Facility | None | $30.90 | $43.65 | $67.61 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | None | $42.66 | $42.66 | $51.29 |
United Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $54.95 | Professional | None | $41.69 | $43.65 | $54.95 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Where Minnesota sits
The same service costs 1.5 times more in Arizona than in Rhode Island. 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· 34th of 51
$42.66
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.