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 $22.91 Median $93.33 Typical High $93.33 | Facility | None | $22.91 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $93.33 | Professional | None | $22.91 | $54.95 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $47.86 Median $204.17 Typical High $489.78 | Facility | None | $47.86 | $204.17 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $77.62 Typical High $204.17 | Professional | None | $32.36 | $77.62 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $831.76 | Facility | None | $181.97 | $281.84 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $173.78 | Professional | None | $14.45 | $58.88 | $173.78 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $645.65 | Facility | None | $165.96 | $275.42 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $158.49 | Professional | None | $14.45 | $58.88 | $158.49 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $72.44 Typical High $194.98 | Facility | None | $33.88 | $72.44 | $194.98 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $524.81 | Professional | None | $67.61 | $89.13 | $524.81 |
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 $19.05 Median $42.66 Typical High $102.33 | Professional | None | $19.05 | $42.66 | $102.33 |
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 $11.48 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $11.48 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $4.68 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.47 Median $13.80 Typical High $13.80 | Facility | 55 · Aftercare only | $3.47 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.29 Median $9.33 Typical High $9.33 | Facility | 56 · Pre-op care only | $2.29 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $27.54 Typical High $46.77 | Professional | 52 · Reduced service | $11.48 | $27.54 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $11.22 Typical High $18.62 | Professional | 53 · Discontinued | $4.68 | $11.22 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $8.32 Typical High $13.80 | Professional | 55 · Aftercare only | $3.47 | $8.32 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.62 Typical High $9.33 | Professional | 56 · Pre-op care only | $2.29 | $5.62 | $9.33 |
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 4.4 times more in Hawaii 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· 17th of 51
$58.88
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.