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 $50.12 Median $74.13 Typical High $74.13 | Facility | None | $50.12 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $74.13 | Professional | None | $50.12 | $51.29 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $91.20 Median $194.98 Typical High $501.19 | Facility | None | $91.20 | $194.98 | $501.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $112.20 Typical High $194.98 | Professional | None | $57.54 | $112.20 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $794.33 | Facility | None | $173.78 | $269.15 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $112.20 | Professional | None | $60.26 | $89.13 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $630.96 | Facility | None | $162.18 | $263.03 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $89.13 | Professional | None | $58.88 | $81.28 | $89.13 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $186.21 | Facility | None | $74.13 | $102.33 | $186.21 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $316.23 Typical High $446.68 | Professional | None | $70.79 | $316.23 | $446.68 |
United Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $169.82 | Professional | None | $53.70 | $95.50 | $169.82 |
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 $25.12 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $25.12 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $14.79 Typical High $14.79 | Facility | 53 · Discontinued | $10.00 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $7.41 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.01 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $5.01 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.70 Typical High $37.15 | Professional | 52 · Reduced service | $25.12 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.23 Typical High $14.79 | Professional | 53 · Discontinued | $10.00 | $10.23 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $11.22 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.13 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.01 | $5.13 | $7.41 |
Where Minnesota sits
The same service costs 3.0 times more in North Dakota 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· 6th of 51
$75.86
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.