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 $34.67 Median $114.82 Typical High $114.82 | Facility | None | $34.67 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $114.82 | Professional | None | $34.67 | $69.18 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $204.17 Typical High $489.78 | Facility | None | $70.79 | $204.17 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $50.12 Median $128.82 Typical High $251.19 | Professional | None | $50.12 | $128.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,023.29 | Facility | None | $239.88 | $363.08 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $72.44 Typical High $213.80 | Professional | None | $22.39 | $72.44 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $812.83 | Facility | None | $204.17 | $338.84 | $812.83 |
Health Partners Setting Professional Modifier None Typical Low $21.88 Median $72.44 Typical High $194.98 | Professional | None | $21.88 | $72.44 | $194.98 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $239.88 | Facility | None | $53.70 | $87.10 | $239.88 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $645.65 | Professional | None | $85.11 | $109.65 | $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 $28.18 Median $63.10 Typical High $128.82 | Professional | None | $28.18 | $63.10 | $128.82 |
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 $17.38 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $17.38 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $6.92 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.25 Median $16.98 Typical High $16.98 | Facility | 55 · Aftercare only | $5.25 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.47 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $3.47 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $34.67 Typical High $57.54 | Professional | 52 · Reduced service | $17.38 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $13.80 Typical High $22.91 | Professional | 53 · Discontinued | $6.92 | $13.80 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.47 Typical High $16.98 | Professional | 55 · Aftercare only | $5.25 | $10.47 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $6.92 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.47 | $6.92 | $11.48 |
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 3.5 times more in Hawaii than in Maryland. 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· 7th of 51
$83.18
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.