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 $72.44 Median $72.44 Typical High $275.42 | Facility | None | $72.44 | $72.44 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | None | $72.44 | $72.44 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $251.19 | Facility | None | $79.43 | $158.49 | $251.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $213.80 Typical High $288.40 | Facility | None | $104.71 | $213.80 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $95.50 | Professional | None | $74.13 | $79.43 | $95.50 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $302.00 | Facility | None | $83.18 | $204.17 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $251.19 | Facility | None | $56.23 | $87.10 | $251.19 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $83.18 Typical High $138.04 | Professional | None | $33.11 | $83.18 | $138.04 |
United Setting Professional Modifier None Typical Low $29.51 Median $74.13 Typical High $138.04 | Professional | None | $29.51 | $74.13 | $138.04 |
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 $36.31 Median $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $36.31 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.59 |
Where Minnesota sits
The same service costs 1.6 times more in Hawaii 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· 23rd of 51
$74.13
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.