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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | None | $60.26 | $75.86 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $371.54 | Facility | None | $165.96 | $275.42 | $371.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | None | $147.91 | $165.96 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $186.21 Typical High $251.19 | Facility | None | $91.20 | $186.21 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $89.13 | Professional | None | $70.79 | $77.62 | $89.13 |
Health Partners Setting Facility Modifier None Typical Low $72.44 Median $177.83 Typical High $263.03 | Facility | None | $72.44 | $177.83 | $263.03 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $162.18 | Facility | None | $47.86 | $75.86 | $162.18 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $112.20 | Professional | None | $63.10 | $63.10 | $112.20 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $117.49 | Professional | None | $63.10 | $63.10 | $117.49 |
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 $37.15 Median $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.55 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.31 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 3.2 times more in Kansas than in Arkansas. 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· 8th of 51
$89.13
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.