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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | None | $39.81 | $39.81 | $42.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $79.43 Typical High $79.43 | Facility | None | $39.81 | $79.43 | $79.43 |
BCBS Minnesota Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $39.81 | Professional | None | $31.62 | $35.48 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $107.15 Typical High $144.54 | Facility | None | $52.48 | $107.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $51.29 | Professional | None | $40.74 | $44.67 | $51.29 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $102.33 Typical High $151.36 | Facility | None | $41.69 | $102.33 | $151.36 |
Health Partners Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $67.61 Typical High $91.20 | Facility | None | $39.81 | $67.61 | $91.20 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $72.44 | Professional | None | $39.81 | $39.81 | $72.44 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | None | $39.81 | $39.81 | $74.13 |
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 $19.95 Median $19.95 Typical High $19.95 | Facility | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 55 · Aftercare only | $6.03 | $6.03 | $6.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 56 · Pre-op care only | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $4.07 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 49th of 51
$39.81
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.