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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $309.03 | Professional | None | $257.04 | $309.03 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $512.86 | Facility | None | $239.88 | $371.54 | $512.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $263.03 | Professional | None | $208.93 | $251.19 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $389.05 | Facility | None | $144.54 | $218.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $389.05 | Facility | None | $134.90 | $199.53 | $389.05 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $758.58 | Facility | None | $295.12 | $295.12 | $758.58 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $1,047.13 | Professional | None | $245.47 | $251.19 | $1,047.13 |
United Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $380.19 | Professional | None | $257.04 | $257.04 | $380.19 |
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 $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $38.02 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.12 | $30.90 | $30.90 |
Where Minnesota sits
The same service costs 1.7 times more in Alaska than in Indiana. 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· 36th of 51
$257
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.