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 $173.78 Median $173.78 Typical High $316.23 | Facility | None | $173.78 | $173.78 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $123.03 | Facility | None | $40.74 | $66.07 | $123.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $91.20 | Professional | None | $57.54 | $72.44 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $54.95 Typical High $74.13 | Facility | None | $26.92 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $223.87 | Professional | None | $173.78 | $186.21 | $223.87 |
Health Partners Setting Facility Modifier None Typical Low $20.89 Median $51.29 Typical High $77.62 | Facility | None | $20.89 | $51.29 | $77.62 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $30.20 Typical High $125.89 | Facility | None | $4.27 | $30.20 | $125.89 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | None | $75.86 | $75.86 | $134.90 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $169.82 | Professional | None | $91.20 | $91.20 | $169.82 |
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 $87.10 Median $87.10 Typical High $87.10 | Facility | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.78 |
Where Minnesota sits
The same service costs 3.2 times more in Wyoming 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· 44th of 51
$91.20
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.