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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $31.62 Median $63.10 Typical High $186.21 | Facility | None | $31.62 | $63.10 | $186.21 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $48.98 | Professional | None | $19.95 | $28.18 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $165.96 | Facility | None | $38.90 | $58.88 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $23.99 | Professional | None | $19.05 | $20.89 | $23.99 |
Health Partners Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $131.83 | Facility | None | $33.88 | $56.23 | $131.83 |
Health Partners Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $32.36 | Facility | None | $23.44 | $29.51 | $32.36 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $52.48 Typical High $114.82 | Professional | None | $23.44 | $52.48 | $114.82 |
United Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $61.66 | Professional | None | $19.05 | $33.88 | $61.66 |
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 $7.76 Median $7.76 Typical High $7.76 | Facility | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | 55 · Aftercare only | $2.34 | $2.34 | $2.34 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.55 Typical High $1.55 | Facility | 56 · Pre-op care only | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.55 | $1.55 | $1.55 |
Where Minnesota sits
The same service costs 2.8 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· 16th of 51
$19.05
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.