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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $30.90 | Professional | None | $28.18 | $29.51 | $30.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $120.23 Typical High $354.81 | Facility | None | $58.88 | $120.23 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $91.20 | Professional | None | $41.69 | $54.95 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $316.23 | Facility | None | $74.13 | $112.20 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
Health Partners Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $251.19 | Facility | None | $67.61 | $107.15 | $251.19 |
Health Partners Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $53.70 Typical High $66.07 | Facility | None | $33.88 | $53.70 | $66.07 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $213.80 | Professional | None | $37.15 | $70.79 | $213.80 |
United Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $102.33 | Professional | None | $33.11 | $53.70 | $102.33 |
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 $14.79 Median $14.79 Typical High $14.79 | Facility | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $14.13 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $6.17 | Professional | 53 · Discontinued | $5.62 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.27 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.95 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.82 | $2.95 | $3.09 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in New York. 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· 10th of 51
$45.71
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.