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 $25.12 Median $44.67 Typical High $151.36 | Facility | None | $25.12 | $44.67 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $44.67 | Professional | None | $25.12 | $30.20 | $44.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $83.18 Typical High $239.88 | Facility | None | $39.81 | $83.18 | $239.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $37.15 Median $63.10 Typical High $95.50 | Professional | None | $37.15 | $63.10 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $398.11 | Facility | None | $93.33 | $141.25 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $28.18 Typical High $85.11 | Professional | None | $15.85 | $28.18 | $85.11 |
Health Partners Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $316.23 | Facility | None | $81.28 | $131.83 | $316.23 |
Health Partners Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $87.10 | Professional | None | $15.49 | $28.18 | $87.10 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $56.23 Typical High $75.86 | Facility | None | $34.67 | $56.23 | $75.86 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $245.47 | Professional | None | $35.48 | $48.98 | $245.47 |
United Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $74.13 | Professional | None | $21.38 | $35.48 | $74.13 |
8 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 $12.59 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $12.59 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $5.01 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.72 Median $6.61 Typical High $6.61 | Facility | 55 · Aftercare only | $3.72 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.51 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $2.51 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.14 Typical High $22.39 | Professional | 52 · Reduced service | $12.59 | $15.14 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.03 Typical High $8.91 | Professional | 53 · Discontinued | $5.01 | $6.03 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.57 Typical High $6.61 | Professional | 55 · Aftercare only | $3.72 | $4.57 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.02 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.51 | $3.02 | $4.47 |
Where Minnesota sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 11th of 51
$40.74
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.