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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | None | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $37.15 | Facility | None | $18.62 | $28.18 | $37.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $18.62 | Professional | None | $14.79 | $16.98 | $18.62 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $8.32 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $56.23 Typical High $75.86 | Facility | None | $27.54 | $56.23 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $26.92 | Professional | None | $21.38 | $23.44 | $26.92 |
Health Partners Setting Facility Modifier None Typical Low $21.88 Median $52.48 Typical High $79.43 | Facility | None | $21.88 | $52.48 | $79.43 |
Health Partners Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $20.89 Typical High $31.62 | Facility | None | $19.50 | $20.89 | $31.62 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $27.54 | Professional | None | $21.88 | $22.91 | $27.54 |
United Setting Facility Modifier None Typical Low $19.50 Median $20.89 Typical High $22.91 | Facility | None | $19.50 | $20.89 | $22.91 |
United Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $28.84 | Professional | None | $21.88 | $22.91 | $28.84 |
6 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 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Where Minnesota sits
The same service costs 2.1 times more in Alabama 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· 27th of 51
$21.38
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.