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 $31.62 Median $47.86 Typical High $63.10 | Facility | None | $31.62 | $47.86 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | None | $8.13 | $8.13 | $8.32 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.32 Median $14.45 Typical High $19.95 | Facility | None | $8.32 | $14.45 | $19.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $7.76 | Professional | None | $5.75 | $7.24 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.50 Typical High $26.30 | Facility | None | $9.55 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | None | $8.32 | $8.32 | $10.47 |
Health Partners Setting Facility Modifier None Typical Low $7.41 Median $18.20 Typical High $27.54 | Facility | None | $7.41 | $18.20 | $27.54 |
Health Partners Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $27.54 Typical High $51.29 | Facility | None | $7.08 | $27.54 | $51.29 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $48.98 | Professional | None | $5.37 | $5.75 | $48.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.72 | Professional | None | $7.24 | $7.24 | $10.72 |
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 $4.07 Median $4.07 Typical High $4.07 | Facility | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Facility | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | 55 · Aftercare only | $1.23 | $1.23 | $1.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.81 | Facility | 56 · Pre-op care only | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.17 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.66 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.26 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.83 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 6th of 51
$8.71
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.