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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | None | $40.74 | $47.86 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $85.11 | Facility | None | $42.66 | $63.10 | $85.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | None | $33.88 | $38.02 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $154.88 | Facility | None | $56.23 | $114.82 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | None | $43.65 | $47.86 | $54.95 |
Health Partners Setting Facility Modifier None Typical Low $44.67 Median $109.65 Typical High $162.18 | Facility | None | $44.67 | $109.65 | $162.18 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $43.65 Typical High $64.57 | Facility | None | $12.02 | $43.65 | $64.57 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | None | $50.12 | $50.12 | $91.20 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None | $50.12 | $50.12 | $93.33 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
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 $20.42 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.17 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.07 | $4.79 | $4.79 |
Where Minnesota sits
The same service costs 15.1 times more in Alabama than in Montana. 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· 15th of 51
$47.86
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.