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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | None | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $147.91 | Facility | None | $74.13 | $109.65 | $147.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $74.13 | Professional | None | $58.88 | $66.07 | $74.13 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $33.11 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $269.15 | Facility | None | $97.72 | $199.53 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $288.40 | Professional | None | $117.49 | $181.97 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $281.84 | Facility | None | $75.86 | $186.21 | $281.84 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | None | $114.82 | $158.49 | $263.03 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $141.25 | Facility | None | $74.13 | $125.89 | $141.25 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $97.72 | Professional | None | $77.62 | $81.28 | $97.72 |
United Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $102.33 | Professional | None | $77.62 | $81.28 | $102.33 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Where Minnesota sits
The same service costs 2.8 times more in Arizona 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· 8th of 51
$81.28
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.