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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | None | $20.42 | $20.42 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $61.66 | Facility | None | $34.67 | $60.26 | $61.66 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | None | $21.88 | $25.70 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $38.02 Typical High $45.71 | Facility | None | $36.31 | $38.02 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $26.30 | Professional | None | $20.89 | $22.91 | $26.30 |
Health Partners Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Facility | None | $35.48 | $35.48 | $36.31 |
Health Partners Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $46.77 Typical High $97.72 | Facility | None | $24.55 | $46.77 | $97.72 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $44.67 | Professional | None | $24.55 | $24.55 | $44.67 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None | $32.36 | $32.36 | $60.26 |
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 $10.23 Median $10.23 Typical High $10.23 | Facility | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | 55 · Aftercare only | $3.02 | $3.02 | $3.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | 56 · Pre-op care only | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | 52 · Reduced service | $10.23 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.09 |
Where Minnesota sits
The same service costs 3.8 times more in Oklahoma than in Delaware. 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· 40th of 51
$26.30
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.