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 $4.90 Median $18.20 Typical High $18.20 | Facility | None | $4.90 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $15.85 Typical High $18.20 | Professional | None | $4.90 | $15.85 | $18.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $263.03 | Facility | None | $25.70 | $56.23 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $43.65 | Professional | None | $19.95 | $26.30 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $56.23 Typical High $158.49 | Facility | None | $37.15 | $56.23 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | None | $17.78 | $17.78 | $22.39 |
Health Partners Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $123.03 | Facility | None | $33.11 | $52.48 | $123.03 |
Health Partners Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $43.65 | Facility | None | $16.60 | $26.92 | $43.65 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $31.62 Typical High $165.96 | Professional | None | $15.85 | $31.62 | $165.96 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Facility | None | $15.85 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $50.12 | Professional | None | $14.45 | $22.91 | $50.12 |
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 $9.12 Median $9.12 Typical High $9.12 | Facility | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | 55 · Aftercare only | $2.75 | $2.75 | $2.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $1.82 | Facility | 56 · Pre-op care only | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $7.08 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $2.82 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.75 Typical High $2.75 | Professional | 55 · Aftercare only | $2.14 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.41 | $1.82 | $1.82 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 17th of 51
$19.50
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.