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 $21.38 Median $87.10 Typical High $87.10 | Facility | None | $21.38 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $53.70 Typical High $87.10 | Professional | None | $21.38 | $53.70 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $102.33 Median $316.23 Typical High $741.31 | Facility | None | $102.33 | $316.23 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $89.13 Typical High $204.17 | Professional | None | $27.54 | $89.13 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $851.14 | Facility | None | $199.53 | $288.40 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $74.13 Typical High $120.23 | Professional | None | $23.99 | $74.13 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $676.08 | Facility | None | $169.82 | $281.84 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $23.44 Median $72.44 Typical High $95.50 | Professional | None | $23.44 | $72.44 | $95.50 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $194.98 | Facility | None | $35.48 | $64.57 | $194.98 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $234.42 Typical High $537.03 | Professional | None | $81.28 | $234.42 | $537.03 |
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $724.44 | Facility | None | $501.19 | $549.54 | $724.44 |
United Setting Professional Modifier None Typical Low $25.12 Median $70.79 Typical High $213.80 | Professional | None | $25.12 | $70.79 | $213.80 |
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 $10.72 Median $43.65 Typical High $43.65 | Facility | 52 · Reduced service | $10.72 | $43.65 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $17.38 Typical High $17.38 | Facility | 53 · Discontinued | $4.27 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.24 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $3.24 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.14 Median $8.71 Typical High $8.71 | Facility | 56 · Pre-op care only | $2.14 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $26.92 Typical High $43.65 | Professional | 52 · Reduced service | $10.72 | $26.92 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $10.72 Typical High $17.38 | Professional | 53 · Discontinued | $4.27 | $10.72 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $7.94 Typical High $12.88 | Professional | 55 · Aftercare only | $3.24 | $7.94 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $5.37 Typical High $8.71 | Professional | 56 · Pre-op care only | $2.14 | $5.37 | $8.71 |
Where Minnesota sits
The same service costs 6.5 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· 4th of 51
$87.10
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.