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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | None | $10.96 | $10.96 | $12.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $21.88 | Facility | None | $11.22 | $20.89 | $21.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $11.22 | Professional | None | $9.12 | $10.23 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $12.02 Typical High $14.45 | Facility | None | $11.48 | $12.02 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $14.45 | Professional | None | $11.48 | $12.30 | $14.45 |
Health Partners Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Health Partners Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $70.79 | Facility | None | $10.96 | $18.62 | $70.79 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $19.95 | Professional | None | $10.96 | $10.96 | $19.95 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $20.89 | Professional | None | $11.22 | $11.22 | $20.89 |
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 $5.50 Median $5.50 Typical High $5.50 | Facility | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Facility | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | 56 · Pre-op care only | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.29 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.70 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.10 | $1.10 | $1.12 |
Where Minnesota sits
The same service costs 3.7 times more in Wyoming than in Georgia. 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
$11.22
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.