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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | None | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
BCBS Minnesota Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $57.54 | Facility | None | $28.84 | $43.65 | $57.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $28.84 | Professional | None | $23.44 | $26.30 | $28.84 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $13.18 Typical High $14.45 | Professional | 52 · Reduced service | $11.48 | $13.18 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $87.10 Typical High $117.49 | Facility | None | $42.66 | $87.10 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $41.69 | Professional | None | $33.11 | $36.31 | $41.69 |
Health Partners Setting Facility Modifier None Typical Low $33.88 Median $81.28 Typical High $123.03 | Facility | None | $33.88 | $81.28 | $123.03 |
Health Partners Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $32.36 Typical High $48.98 | Facility | None | $28.84 | $32.36 | $48.98 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $42.66 | Professional | None | $33.88 | $35.48 | $42.66 |
United Setting Facility Modifier None Typical Low $28.84 Median $30.90 Typical High $33.88 | Facility | None | $28.84 | $30.90 | $33.88 |
United Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $44.67 | Professional | None | $33.88 | $35.48 | $44.67 |
6 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 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Georgia. 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· 22nd of 51
$33.11
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.