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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | None | $23.44 | $24.55 | $24.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $13.49 Typical High $213.80 | Facility | None | $12.59 | $13.49 | $213.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $13.49 | Professional | None | $10.72 | $12.02 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $165.96 | Facility | None | $38.90 | $58.88 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | None | $23.44 | $25.12 | $29.51 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $131.83 | Facility | None | $35.48 | $56.23 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $54.95 | Facility | None | $30.90 | $38.90 | $54.95 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $64.57 | Professional | None | $23.44 | $33.88 | $64.57 |
United Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $67.61 | Professional | None | $23.44 | $35.48 | $67.61 |
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 $12.30 Median $12.30 Typical High $12.30 | Facility | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | 56 · Pre-op care only | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $11.75 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.68 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.55 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.34 | $2.45 | $2.45 |
Where Minnesota sits
The same service costs 4.3 times more in Alaska than in New York. 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· 34th of 51
$24.55
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.