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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | None | $28.18 | $28.18 | $28.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.05 Median $43.65 Typical High $51.29 | Facility | None | $19.05 | $43.65 | $51.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $24.55 | Professional | None | $16.60 | $19.50 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $69.18 Typical High $95.50 | Facility | None | $33.88 | $69.18 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $36.31 | Professional | None | $28.84 | $30.90 | $36.31 |
Health Partners Setting Facility Modifier None Typical Low $26.30 Median $64.57 Typical High $97.72 | Facility | None | $26.30 | $64.57 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $70.79 | Facility | None | $17.38 | $26.92 | $70.79 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $30.90 | Professional | None | $17.38 | $17.38 | $30.90 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | None | $24.55 | $24.55 | $45.71 |
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 $14.13 Median $14.13 Typical High $14.13 | Facility | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.88 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska 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· 33rd of 51
$28.18
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.