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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $125.89 | Facility | None | $63.10 | $95.50 | $125.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $63.10 | Professional | None | $50.12 | $57.54 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $416.87 | Facility | None | $147.91 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $147.91 | Professional | None | $117.49 | $125.89 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $436.52 | Facility | None | $117.49 | $288.40 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $162.18 Typical High $218.78 | Facility | None | $144.54 | $162.18 | $218.78 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $234.42 | Professional | None | $128.82 | $128.82 | $234.42 |
United Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $239.88 | Professional | None | $128.82 | $128.82 | $239.88 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $12.88 | $12.88 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska 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· 27th of 51
$126
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.