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 $51.29 Median $51.29 Typical High $81.28 | Facility | None | $51.29 | $51.29 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None | $51.29 | $51.29 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $45.71 Median $91.20 Typical High $100.00 | Facility | None | $45.71 | $91.20 | $100.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $48.98 | Professional | None | $38.90 | $43.65 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $154.88 | Facility | None | $54.95 | $112.20 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $53.70 | Professional | None | $43.65 | $48.98 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $43.65 Median $107.15 Typical High $158.49 | Facility | None | $43.65 | $107.15 | $158.49 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $85.11 | Facility | None | $35.48 | $44.67 | $85.11 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None | $48.98 | $48.98 | $58.88 |
United Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $64.57 | Professional | None | $48.98 | $51.29 | $64.57 |
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 $25.70 Median $25.70 Typical High $25.70 | Facility | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Where Minnesota sits
The same service costs 1.5 times more in Colorado than in Alaska. 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· 30th of 51
$51.29
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.