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 $66.07 Median $66.07 Typical High $67.61 | Professional | None | $66.07 | $66.07 | $67.61 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $81.28 Typical High $109.65 | Facility | None | $54.95 | $81.28 | $109.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | None | $43.65 | $48.98 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $162.18 Typical High $218.78 | Facility | None | $79.43 | $162.18 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $77.62 | Professional | None | $61.66 | $66.07 | $77.62 |
Health Partners Setting Facility Modifier None Typical Low $61.66 Median $151.36 Typical High $229.09 | Facility | None | $61.66 | $151.36 | $229.09 |
Health Partners Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $30.20 Typical High $109.65 | Facility | None | $28.84 | $30.20 | $109.65 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | None | $56.23 | $56.23 | $102.33 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | None | $56.23 | $56.23 | $104.71 |
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 $13.49 Median $13.49 Typical High $13.49 | Facility | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
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 $33.11 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.76 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in California. 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· 11th of 51
$60.26
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.