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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $13.49 | Professional | None | $11.22 | $13.49 | $13.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $30.20 Median $97.72 Typical High $223.87 | Facility | None | $30.20 | $97.72 | $223.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $33.88 | Professional | None | $19.95 | $23.99 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $120.23 | Facility | None | $28.18 | $42.66 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $33.88 | Professional | None | $8.51 | $10.72 | $33.88 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $40.74 Typical High $95.50 | Facility | None | $25.12 | $40.74 | $95.50 |
Health Partners Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $32.36 | Professional | None | $8.51 | $8.51 | $32.36 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $154.88 | Facility | None | $16.98 | $26.92 | $154.88 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $281.84 | Professional | None | $9.77 | $12.30 | $281.84 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $208.93 | Facility | None | $147.91 | $162.18 | $208.93 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $25.12 | Professional | None | $9.77 | $11.75 | $25.12 |
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 $6.76 Median $6.76 Typical High $6.76 | Facility | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | 55 · Aftercare only | $2.04 | $2.04 | $2.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | 56 · Pre-op care only | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.24 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $1.70 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.35 Typical High $1.35 | Professional | 56 · Pre-op care only | $1.12 | $1.35 | $1.35 |
Where Minnesota sits
The same service costs 3.2 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· 22nd of 51
$13.49
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.