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 $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | None | $74.13 | $74.13 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $66.07 Median $165.96 Typical High $630.96 | Facility | None | $66.07 | $165.96 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $218.78 | Professional | None | $109.65 | $138.04 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $588.84 | Facility | None | $169.82 | $194.98 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $199.53 | Professional | None | $120.23 | $169.82 | $199.53 |
Health Partners Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $309.03 | Facility | None | $158.49 | $165.96 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | None | $117.49 | $165.96 | $165.96 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $162.18 | Facility | None | $97.72 | $125.89 | $162.18 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $489.78 | Professional | None | $81.28 | $173.78 | $489.78 |
United Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $165.96 | Facility | None | $117.49 | $128.82 | $165.96 |
United Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $239.88 | Professional | None | $77.62 | $128.82 | $239.88 |
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 $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | 52 · Reduced service | $37.15 | $37.15 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | 53 · Discontinued | $14.79 | $14.79 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $18.20 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $12.30 |
Where Minnesota sits
The same service costs 3.0 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· 2nd of 51
$151
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.