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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | None | $20.89 | $20.89 | $23.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.89 Median $41.69 Typical High $43.65 | Facility | None | $20.89 | $41.69 | $43.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $21.88 | Professional | None | $17.38 | $19.95 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $61.66 Typical High $83.18 | Facility | None | $30.20 | $61.66 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $27.54 | Professional | None | $21.88 | $23.44 | $27.54 |
Health Partners Setting Facility Modifier None Typical Low $23.44 Median $57.54 Typical High $87.10 | Facility | None | $23.44 | $57.54 | $87.10 |
Health Partners Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $23.99 Typical High $36.31 | Facility | None | $19.05 | $23.99 | $36.31 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $34.67 | Professional | None | $19.05 | $19.05 | $34.67 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $40.74 | Professional | None | $21.88 | $21.88 | $40.74 |
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 $10.47 Median $10.47 Typical High $10.47 | Facility | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 53 · Discontinued | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | 55 · Aftercare only | $3.16 | $3.16 | $3.16 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | 56 · Pre-op care only | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 55 · Aftercare only | $3.16 | $3.16 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.09 | $2.09 | $2.19 |
Where Minnesota sits
The same service costs 2.6 times more in Wyoming than in Texas. 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
$21.88
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.