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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | None | $51.29 | $64.57 | $64.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $64.57 Typical High $67.61 | Facility | None | $33.11 | $64.57 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $33.88 | Professional | None | $27.54 | $30.90 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $128.82 | Facility | None | $46.77 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $45.71 | Professional | None | $36.31 | $41.69 | $45.71 |
Health Partners Setting Facility Modifier None Typical Low $37.15 Median $91.20 Typical High $134.90 | Facility | None | $37.15 | $91.20 | $134.90 |
Health Partners Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $19.05 Typical High $109.65 | Facility | None | $10.96 | $19.05 | $109.65 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $97.72 | Professional | None | $53.70 | $53.70 | $97.72 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $100.00 | Professional | None | $53.70 | $53.70 | $100.00 |
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 $32.36 Median $32.36 Typical High $32.36 | Facility | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 55 · Aftercare only | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $25.70 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $10.47 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $7.76 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.13 | $6.46 | $6.46 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska than in Montana. 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· 48th of 51
$45.71
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.