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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $57.54 Median $489.78 Typical High $1,174.90 | Facility | None | $57.54 | $489.78 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $60.26 | Professional | None | $25.12 | $33.11 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $213.80 | Facility | None | $48.98 | $74.13 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $75.86 | Professional | None | $36.31 | $47.86 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $165.96 | Facility | None | $44.67 | $70.79 | $165.96 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $70.79 | Professional | None | $35.48 | $38.02 | $70.79 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $38.90 Typical High $758.58 | Facility | None | $30.20 | $38.90 | $758.58 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $53.70 Typical High $275.42 | Professional | None | $25.12 | $53.70 | $275.42 |
United Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $776.25 | Facility | None | $549.54 | $588.84 | $776.25 |
United Setting Professional Modifier None Typical Low $23.44 Median $40.74 Typical High $77.62 | Professional | None | $23.44 | $40.74 | $77.62 |
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 $11.75 Median $11.75 Typical High $11.75 | Facility | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 55 · Aftercare only | $3.55 | $3.55 | $3.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | 56 · Pre-op care only | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.96 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.31 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.24 | $2.34 | $2.34 |
Where Minnesota sits
The same service costs 2.8 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· 8th of 51
$38.02
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.