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 $47.86 Median $112.20 Typical High $112.20 | Facility | None | $47.86 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $112.20 | Professional | None | $47.86 | $69.18 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $72.44 Median $204.17 Typical High $489.78 | Facility | None | $72.44 | $204.17 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $239.88 | Professional | None | $50.12 | $112.20 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $1,000.00 | Facility | None | $234.42 | $338.84 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $208.93 | Professional | None | $30.20 | $70.79 | $208.93 |
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 $30.20 Median $69.18 Typical High $190.55 | Professional | None | $30.20 | $69.18 | $190.55 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $239.88 | Facility | None | $67.61 | $109.65 | $239.88 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $645.65 | Professional | None | $85.11 | $114.82 | $645.65 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $38.02 Median $83.18 Typical High $144.54 | Professional | None | $38.02 | $83.18 | $144.54 |
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 $23.99 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $23.99 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $9.55 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $7.08 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $4.79 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $33.88 Typical High $54.95 | Professional | 52 · Reduced service | $23.99 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.49 Typical High $22.39 | Professional | 53 · Discontinued | $9.55 | $13.49 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.23 Typical High $16.60 | Professional | 55 · Aftercare only | $7.08 | $10.23 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.76 Typical High $11.22 | Professional | 56 · Pre-op care only | $4.79 | $6.76 | $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 2.5 times more in Alaska than in Washington, DC. 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
$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.