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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $588.84 | Facility | None | $83.18 | $177.83 | $588.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $131.83 | Professional | None | $54.95 | $77.62 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $478.63 | Facility | None | $112.20 | $169.82 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | None | $53.70 | $58.88 | $67.61 |
Health Partners Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $380.19 | Facility | None | $97.72 | $158.49 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $97.72 | Facility | None | $67.61 | $85.11 | $97.72 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $162.18 Typical High $338.84 | Professional | None | $70.79 | $162.18 | $338.84 |
United Setting Professional Modifier None Typical Low $57.54 Median $104.71 Typical High $186.21 | Professional | None | $57.54 | $104.71 | $186.21 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 19th of 51
$54.95
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.