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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | None | $93.33 | $97.72 | $97.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $83.18 Median $177.83 Typical High $389.05 | Facility | None | $83.18 | $177.83 | $389.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $263.03 | Professional | None | $120.23 | $154.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $977.24 | Facility | None | $229.09 | $346.74 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $776.25 | Facility | None | $204.17 | $323.59 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $162.18 Typical High $199.53 | Facility | None | $95.50 | $162.18 | $199.53 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $602.56 | Professional | None | $91.20 | $158.49 | $602.56 |
United Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Facility | None | $97.72 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $257.04 | Professional | None | $87.10 | $120.23 | $257.04 |
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 $48.98 Median $48.98 Typical High $48.98 | Facility | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 55 · Aftercare only | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.77 | $9.77 |
Where Minnesota sits
The same service costs 3.3 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· 7th of 51
$129
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.