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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | None | $53.70 | $53.70 | $60.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $104.71 | Facility | None | $42.66 | $60.26 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $51.29 | Professional | None | $36.31 | $42.66 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $141.25 Typical High $190.55 | Facility | None | $67.61 | $141.25 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $69.18 | Professional | None | $54.95 | $60.26 | $69.18 |
Health Partners Setting Facility Modifier None Typical Low $53.70 Median $131.83 Typical High $199.53 | Facility | None | $53.70 | $131.83 | $199.53 |
Health Partners Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $9.55 Typical High $79.43 | Facility | None | $6.76 | $9.55 | $79.43 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | None | $46.77 | $46.77 | $85.11 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $95.50 | Professional | None | $51.29 | $51.29 | $95.50 |
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 $26.92 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 55 · Aftercare only | $8.13 | $8.13 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $26.92 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.50 |
Where Minnesota sits
The same service costs 3.0 times more in Arizona than in Oklahoma. 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· 14th of 51
$53.70
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.