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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | None | $43.65 | $43.65 | $44.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $83.18 | Facility | None | $40.74 | $61.66 | $83.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $42.66 | Professional | None | $33.88 | $38.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $54.95 | Facility | None | $43.65 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | None | $44.67 | $48.98 | $56.23 |
Health Partners Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Facility | None | $42.66 | $42.66 | $43.65 |
Health Partners Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $79.43 | Facility | None | $41.69 | $70.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $75.86 | Professional | None | $41.69 | $41.69 | $75.86 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $79.43 | Professional | None | $42.66 | $42.66 | $79.43 |
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 $21.88 Median $21.88 Typical High $21.88 | Facility | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.76 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.47 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Maryland. 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· 22nd of 51
$43.65
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.