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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | None | $45.71 | $56.23 | $56.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $151.36 Typical High $354.81 | Facility | None | $141.25 | $151.36 | $354.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $288.40 Typical High $363.08 | Professional | None | $107.15 | $288.40 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $89.13 | Facility | None | $70.79 | $74.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $58.88 | Professional | None | $46.77 | $51.29 | $58.88 |
Health Partners Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Facility | None | $69.18 | $69.18 | $70.79 |
Health Partners Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Facility | None | $112.20 | $125.89 | $141.25 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | None | $69.18 | $69.18 | $125.89 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None | $46.77 | $46.77 | $87.10 |
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 $28.18 Median $28.18 Typical High $28.18 | Facility | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $23.99 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.79 | $5.62 | $5.62 |
Where Minnesota sits
The same service costs 3.9 times more in Hawaii than in South Carolina. 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· 16th of 51
$69.18
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.