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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None | $83.18 | $83.18 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $162.18 | Facility | None | $77.62 | $154.88 | $162.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | None | $64.57 | $72.44 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $104.71 | Facility | None | $83.18 | $89.13 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $109.65 | Professional | None | $87.10 | $93.33 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $177.83 | Facility | None | $81.28 | $138.04 | $177.83 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $147.91 | Professional | None | $81.28 | $81.28 | $147.91 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $151.36 | Professional | None | $81.28 | $81.28 | $151.36 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 55 · Aftercare only | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 56 · Pre-op care only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.71 |
Where Minnesota sits
The same service costs 1.5 times more in Arizona than in Nebraska. 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· 24th of 51
$83.18
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.