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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None | $77.62 | $77.62 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $32.36 Median $91.20 Typical High $117.49 | Facility | None | $32.36 | $91.20 | $117.49 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $46.77 | Professional | None | $28.18 | $37.15 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $158.49 Typical High $213.80 | Facility | None | $75.86 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $100.00 | Professional | None | $79.43 | $83.18 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $223.87 | Facility | None | $60.26 | $147.91 | $223.87 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $67.61 Typical High $162.18 | Facility | None | $13.18 | $67.61 | $162.18 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | None | $40.74 | $40.74 | $72.44 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None | $46.77 | $46.77 | $87.10 |
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 $38.90 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $38.90 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $7.94 |
Where Minnesota sits
The same service costs 3.6 times more in Texas than in Kansas. 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· 39th of 51
$74.13
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.