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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | None | $21.88 | $27.54 | $27.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.99 Median $25.12 Typical High $138.04 | Facility | None | $23.99 | $25.12 | $138.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | None | $19.95 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $371.54 | Facility | None | $87.10 | $131.83 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | None | $42.66 | $42.66 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $295.12 | Facility | None | $79.43 | $125.89 | $295.12 |
Health Partners Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $79.43 | Facility | None | $33.11 | $42.66 | $79.43 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $52.48 Typical High $151.36 | Professional | None | $25.70 | $52.48 | $151.36 |
United Setting Professional Modifier None Typical Low $22.91 Median $38.02 Typical High $81.28 | Professional | None | $22.91 | $38.02 | $81.28 |
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 $13.80 Median $13.80 Typical High $13.80 | Facility | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | 53 · Discontinued | $5.50 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 55 · Aftercare only | $4.07 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | 56 · Pre-op care only | $2.75 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $10.96 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $4.37 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.31 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.19 | $2.75 | $2.75 |
Where Minnesota sits
The same service costs 2.7 times more in Alaska than in Connecticut. 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
$41.69
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.