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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $37.15 Median $57.54 Typical High $75.86 | Facility | None | $37.15 | $57.54 | $75.86 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.02 | Professional | None | $30.90 | $34.67 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $3.98 Typical High $5.37 | Facility | None | $1.95 | $3.98 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $1.70 Typical High $1.91 | Professional | None | $1.51 | $1.70 | $1.91 |
Health Partners Setting Facility Modifier None Typical Low $1.51 Median $3.72 Typical High $5.62 | Facility | None | $1.51 | $3.72 | $5.62 |
Health Partners Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Medica Setting Facility Modifier None Typical Low $1.10 Median $3.80 Typical High $60.26 | Facility | None | $1.10 | $3.80 | $60.26 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $67.61 | Professional | None | $37.15 | $37.15 | $67.61 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | None | $37.15 | $37.15 | $69.18 |
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 $22.39 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 53 · Discontinued | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | 55 · Aftercare only | $6.76 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.75 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.80 | $4.47 | $4.47 |
Where Minnesota sits
The same service costs 20.4 times more in Arizona than in Hawaii. 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· 32nd of 51
$37.15
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.