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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $58.88 | Facility | None | $28.84 | $43.65 | $58.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $29.51 | Professional | None | $22.91 | $26.92 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $79.43 Typical High $109.65 | Facility | None | $38.90 | $79.43 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $38.02 | Professional | None | $30.90 | $32.36 | $38.02 |
Health Partners Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $112.20 | Facility | None | $30.90 | $75.86 | $112.20 |
Health Partners Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $50.12 | Facility | None | $22.39 | $28.84 | $50.12 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $33.11 | Professional | None | $27.54 | $28.18 | $33.11 |
United Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $30.90 | Facility | None | $26.30 | $27.54 | $30.90 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $36.31 | Professional | None | $27.54 | $28.84 | $36.31 |
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 $14.79 Median $14.79 Typical High $14.79 | Facility | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 40th of 51
$29.51
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.