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 $61.66 Median $87.10 Typical High $112.20 | Facility | None | $61.66 | $87.10 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $112.20 | Professional | None | $61.66 | $77.62 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $72.44 Median $154.88 Typical High $676.08 | Facility | None | $72.44 | $154.88 | $676.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $239.88 | Professional | None | $67.61 | $141.25 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,000.00 | Facility | None | $234.42 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $213.80 | Professional | None | $39.81 | $70.79 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $776.25 | Facility | None | $199.53 | $331.13 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $213.80 | Professional | None | $38.90 | $69.18 | $213.80 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $190.55 | Facility | None | $87.10 | $125.89 | $190.55 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $741.31 | Professional | None | $81.28 | $107.15 | $741.31 |
United Setting Professional Modifier None Typical Low $38.02 Median $87.10 Typical High $169.82 | Professional | None | $38.02 | $87.10 | $169.82 |
9 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 $30.90 Median $43.65 Typical High $54.95 | Facility | 52 · Reduced service | $30.90 | $43.65 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $17.38 Typical High $22.39 | Facility | 53 · Discontinued | $12.59 | $17.38 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $16.60 | Facility | 55 · Aftercare only | $9.33 | $13.18 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.71 Typical High $11.22 | Facility | 56 · Pre-op care only | $6.17 | $8.71 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $30.90 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.14 Typical High $22.39 | Professional | 53 · Discontinued | $12.59 | $15.14 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.22 Typical High $16.60 | Professional | 55 · Aftercare only | $9.33 | $11.22 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.59 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.17 | $7.59 | $11.22 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 15th of 51
$89.13
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.