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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None | $54.95 | $66.07 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $331.13 | Facility | None | $57.54 | $60.26 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | None | $47.86 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,000.00 | Facility | None | $234.42 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None | $112.20 | $112.20 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $794.33 | Facility | None | $208.93 | $331.13 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $213.80 | Facility | None | $79.43 | $102.33 | $213.80 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $363.08 | Professional | None | $63.10 | $125.89 | $363.08 |
United Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $199.53 | Professional | None | $56.23 | $91.20 | $199.53 |
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 $33.11 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $8.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.50 | $6.61 | $6.61 |
Where Minnesota sits
The same service costs 3.0 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· 2nd of 51
$112
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.