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 $74.13 Median $87.10 Typical High $87.10 | Facility | None | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $87.10 | Professional | None | $74.13 | $75.86 | $87.10 |
BCBS Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $794.33 | Facility | None | $117.49 | $245.47 | $794.33 |
BCBS Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $213.80 | Professional | None | $85.11 | $131.83 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $776.25 | Facility | None | $181.97 | $275.42 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $245.47 | Professional | None | $112.20 | $151.36 | $245.47 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $602.56 | Facility | None | $162.18 | $257.04 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None | $102.33 | $138.04 | $229.09 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $177.83 | Facility | None | $72.44 | $125.89 | $177.83 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $436.52 | Professional | None | $87.10 | $165.96 | $436.52 |
United Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $64.57 | Facility | None | $58.88 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $257.04 | Professional | None | $74.13 | $125.89 | $257.04 |
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 $37.15 Median $43.65 Typical High $43.65 | Facility | 52 · Reduced service | $37.15 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $17.38 | Facility | 53 · Discontinued | $14.79 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $11.22 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.71 Typical High $8.71 | Facility | 56 · Pre-op care only | $7.41 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $12.88 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.41 | $7.59 | $8.71 |
Where Minnesota sits
The same service costs 8.1 times more in Alaska than in Indiana. 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· 5th of 51
$129
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.