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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | None | $45.71 | $48.98 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $602.56 | Facility | None | $95.50 | $199.53 | $602.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $151.36 | Professional | None | $67.61 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $524.81 | Facility | None | $120.23 | $181.97 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | None | $58.88 | $58.88 | $74.13 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $407.38 | Facility | None | $109.65 | $173.78 | $407.38 |
Health Partners Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $107.15 | Facility | None | $54.95 | $87.10 | $107.15 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $112.20 Typical High $346.74 | Professional | None | $57.54 | $112.20 | $346.74 |
United Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $162.18 | Professional | None | $52.48 | $85.11 | $162.18 |
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 $23.99 Median $23.99 Typical High $23.99 | Facility | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $22.91 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.24 Typical High $7.41 | Professional | 55 · Aftercare only | $6.92 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.79 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.57 | $4.79 | $4.90 |
Where Minnesota sits
The same service costs 3.1 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
$74.13
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.