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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | None | $29.51 | $32.36 | $32.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $79.43 | Facility | None | $38.02 | $51.29 | $79.43 |
BCBS Minnesota Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | None | $35.48 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $223.87 | Facility | None | $75.86 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $63.10 | Professional | None | $51.29 | $53.70 | $63.10 |
Health Partners Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $186.21 | Facility | None | $67.61 | $107.15 | $186.21 |
Health Partners Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $61.66 | Facility | None | $43.65 | $43.65 | $61.66 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $213.80 | Professional | None | $15.14 | $15.14 | $213.80 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | None | $15.14 | $15.14 | $21.88 |
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 $15.85 Median $15.85 Typical High $15.85 | Facility | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $3.24 |
Where Minnesota sits
The same service costs 3.2 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· 6th of 51
$43.65
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.