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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | None | $42.66 | $42.66 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $85.11 | Facility | None | $42.66 | $64.57 | $85.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $42.66 | Professional | None | $34.67 | $38.90 | $42.66 |
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 $46.77 Typical High $53.70 | Professional | None | $43.65 | $46.77 | $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 $50.12 Median $72.44 Typical High $87.10 | Facility | None | $50.12 | $72.44 | $87.10 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $66.07 | Professional | None | $52.48 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $70.79 | Professional | None | $50.12 | $54.95 | $70.79 |
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 $21.38 Median $21.38 Typical High $21.38 | Facility | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Where Minnesota sits
The same service costs 2.0 times more in Oregon 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· 48th of 51
$43.65
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.