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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $288.40 Typical High $891.25 | Facility | None | $134.90 | $288.40 | $891.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $208.93 | Professional | None | $89.13 | $125.89 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $776.25 | Facility | None | $181.97 | $275.42 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $109.65 | Professional | None | $87.10 | $95.50 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $616.60 | Facility | None | $154.88 | $257.04 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $154.88 | Facility | None | $109.65 | $138.04 | $154.88 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $512.86 | Professional | None | $107.15 | $245.47 | $512.86 |
United Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $281.84 | Professional | None | $87.10 | $158.49 | $281.84 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska than in Kentucky. 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· 16th of 51
$89.13
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.