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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | None | $46.77 | $56.23 | $56.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $371.54 | Facility | None | $83.18 | $144.54 | $371.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $138.04 | Professional | None | $75.86 | $93.33 | $138.04 |
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 $56.23 Typical High $69.18 | Professional | None | $53.70 | $56.23 | $69.18 |
Health Partners Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $380.19 | Facility | None | $102.33 | $162.18 | $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 $41.69 Median $69.18 Typical High $251.19 | Facility | None | $41.69 | $69.18 | $251.19 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $81.28 Typical High $144.54 | Professional | None | $44.67 | $81.28 | $144.54 |
United Setting Professional Modifier None Typical Low $39.81 Median $97.72 Typical High $144.54 | Professional | None | $39.81 | $97.72 | $144.54 |
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 $28.18 Median $28.18 Typical High $28.18 | Facility | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
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 $23.44 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $23.44 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.68 | $5.62 | $5.62 |
Where Minnesota sits
The same service costs 4.9 times more in Alabama 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· 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.