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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $120.23 | Facility | None | $19.50 | $41.69 | $120.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $35.48 | Professional | None | $16.98 | $21.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $109.65 | Facility | None | $25.70 | $38.90 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $31.62 | Professional | None | $19.95 | $25.12 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $22.39 Median $37.15 Typical High $87.10 | Facility | None | $22.39 | $37.15 | $87.10 |
Health Partners Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | None | $19.95 | $19.95 | $30.90 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $21.88 Typical High $47.86 | Facility | None | $15.85 | $21.88 | $47.86 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $33.88 Typical High $70.79 | Professional | None | $15.85 | $33.88 | $70.79 |
United Setting Professional Modifier None Typical Low $12.02 Median $22.91 Typical High $40.74 | Professional | None | $12.02 | $22.91 | $40.74 |
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 $6.31 Median $6.31 Typical High $6.31 | Facility | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 55 · Aftercare only | $1.91 | $1.91 | $1.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | 56 · Pre-op care only | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.26 |
Where Minnesota sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 6th of 51
$19.95
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.