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 $32.36 Median $34.67 Typical High $63.10 | Facility | None | $32.36 | $34.67 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | None | $32.36 | $32.36 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $29.51 Median $60.26 Typical High $64.57 | Facility | None | $29.51 | $60.26 | $64.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $30.90 | Professional | None | $24.55 | $27.54 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $75.86 Typical High $104.71 | Facility | None | $37.15 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $36.31 | Professional | None | $28.84 | $33.11 | $36.31 |
Health Partners Setting Facility Modifier None Typical Low $29.51 Median $72.44 Typical High $107.15 | Facility | None | $29.51 | $72.44 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $52.48 | Facility | None | $23.99 | $33.88 | $52.48 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $38.90 | Professional | None | $32.36 | $33.11 | $38.90 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $43.65 | Professional | None | $32.36 | $33.88 | $43.65 |
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 $16.22 Median $16.22 Typical High $16.22 | Facility | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Where Minnesota sits
The same service costs 5.4 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· 41st of 51
$32.36
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.