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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $48.98 Median $53.70 Typical High $83.18 | Facility | None | $48.98 | $53.70 | $83.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $54.95 | Professional | None | $43.65 | $53.70 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $186.21 Typical High $467.74 | Facility | None | $35.48 | $186.21 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $79.43 | Professional | None | $63.10 | $66.07 | $79.43 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $186.21 Typical High $436.52 | Facility | None | $117.49 | $186.21 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $251.19 | Facility | None | $36.31 | $56.23 | $251.19 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $162.18 | Professional | None | $21.88 | $27.54 | $162.18 |
United Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $48.98 | Professional | None | $17.78 | $27.54 | $48.98 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 55 · Aftercare only | $6.03 | $6.03 | $6.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 56 · Pre-op care only | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.50 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.89 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.98 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.89 | $3.98 | $3.98 |
Where Minnesota sits
The same service costs 2.2 times more in Hawaii than in Utah. 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
$52.48
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.