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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | None | $22.39 | $22.39 | $23.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $46.77 | Facility | None | $24.55 | $38.02 | $46.77 |
BCBS Minnesota Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $23.44 | Professional | None | $18.62 | $20.89 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $63.10 Typical High $85.11 | Facility | None | $30.90 | $63.10 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | None | $23.44 | $25.12 | $29.51 |
Health Partners Setting Facility Modifier None Typical Low $23.99 Median $58.88 Typical High $89.13 | Facility | None | $23.99 | $58.88 | $89.13 |
Health Partners Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $24.55 Typical High $40.74 | Facility | None | $8.71 | $24.55 | $40.74 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | None | $24.55 | $24.55 | $43.65 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $42.66 | Professional | None | $22.91 | $22.91 | $42.66 |
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 $11.22 Median $11.22 Typical High $11.22 | Facility | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | 53 · Discontinued | $4.47 | $4.47 | $4.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | 55 · Aftercare only | $3.39 | $3.39 | $3.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | 56 · Pre-op care only | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $2.34 |
Where Minnesota sits
The same service costs 1.9 times more in Alaska than in Mississippi. 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· 37th of 51
$22.91
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.