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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | None | $47.86 | $48.98 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $114.82 | Facility | None | $61.66 | $81.28 | $114.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | None | $81.28 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $229.09 Typical High $575.44 | Facility | None | $39.81 | $229.09 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $97.72 | Professional | None | $77.62 | $81.28 | $97.72 |
Health Partners Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $537.03 | Facility | None | $144.54 | $229.09 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $309.03 | Facility | None | $28.18 | $69.18 | $309.03 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $199.53 | Professional | None | $26.30 | $30.90 | $199.53 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $60.26 | Professional | None | $21.88 | $30.90 | $60.26 |
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 $24.55 Median $24.55 Typical High $24.55 | Facility | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 55 · Aftercare only | $7.41 | $7.41 | $7.41 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 56 · Pre-op care only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.55 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $7.08 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.79 | $4.90 | $4.90 |
Where Minnesota sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$77.62
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.