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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $47.86 | Professional | None | $43.65 | $45.71 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $186.21 Typical High $549.54 | Facility | None | $93.33 | $186.21 | $549.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $144.54 | Professional | None | $64.57 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $489.78 | Facility | None | $114.82 | $173.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | None | $56.23 | $56.23 | $70.79 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $389.05 | Facility | None | $104.71 | $165.96 | $389.05 |
Health Partners Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $102.33 | Facility | None | $52.48 | $83.18 | $102.33 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $331.13 | Professional | None | $56.23 | $109.65 | $331.13 |
United Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $154.88 | Professional | None | $50.12 | $81.28 | $154.88 |
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 $22.91 Median $22.91 Typical High $22.91 | Facility | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 55 · Aftercare only | $6.92 | $6.92 | $6.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | 56 · Pre-op care only | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.91 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.12 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.92 Typical High $7.24 | Professional | 55 · Aftercare only | $6.61 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.57 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.37 | $4.57 | $4.79 |
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· 9th of 51
$70.79
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.