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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | None | $32.36 | $32.36 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $29.51 Median $61.66 Typical High $63.10 | Facility | None | $29.51 | $61.66 | $63.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $31.62 | Professional | None | $25.70 | $28.84 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $33.88 Typical High $40.74 | Facility | None | $32.36 | $33.88 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $41.69 | Professional | None | $33.11 | $36.31 | $41.69 |
Health Partners Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Facility | None | $31.62 | $31.62 | $32.36 |
Health Partners Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $58.88 | Facility | None | $31.62 | $52.48 | $58.88 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | None | $31.62 | $31.62 | $56.23 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | None | $31.62 | $31.62 | $58.88 |
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 $16.22 Median $16.22 Typical High $16.22 | Facility | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.31 |
Where Minnesota sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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
$32.36
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.