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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $120.23 | Professional | None | $75.86 | $75.86 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $154.88 | Facility | None | $70.79 | $141.25 | $154.88 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $60.26 Median $67.61 Typical High $75.86 | Professional | KD · Drug infused by equipment | $60.26 | $67.61 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $275.42 | Facility | None | $100.00 | $204.17 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $97.72 | Professional | None | $77.62 | $85.11 | $97.72 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $190.55 Typical High $288.40 | Facility | None | $77.62 | $190.55 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $154.88 | Facility | None | $57.54 | $70.79 | $154.88 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None | $77.62 | $77.62 | $93.33 |
United Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $89.13 | Facility | None | $75.86 | $81.28 | $89.13 |
United Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | None | $75.86 | $79.43 | $100.00 |
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 $37.15 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 37th of 51
$77.62
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.