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 $40.74 Median $41.69 Typical High $138.04 | Facility | None | $40.74 | $41.69 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | None | $40.74 | $40.74 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $77.62 | Facility | None | $33.88 | $67.61 | $77.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $38.90 | Professional | None | $29.51 | $33.88 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $104.71 Typical High $144.54 | Facility | None | $51.29 | $104.71 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | None | $41.69 | $46.77 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $40.74 Median $100.00 Typical High $147.91 | Facility | None | $40.74 | $100.00 | $147.91 |
Health Partners Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $45.71 Typical High $104.71 | Facility | None | $19.95 | $45.71 | $104.71 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $54.95 | Professional | None | $45.71 | $46.77 | $54.95 |
United Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $64.57 | Professional | None | $47.86 | $50.12 | $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 $20.42 Median $20.42 Typical High $20.42 | Facility | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Where Minnesota sits
The same service costs 6.0 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· 45th of 51
$41.69
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.