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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | None | $89.13 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $177.83 | Facility | None | $89.13 | $131.83 | $177.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | None | $70.79 | $79.43 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $338.84 | Facility | None | $123.03 | $251.19 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | None | $95.50 | $104.71 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $354.81 | Facility | None | $95.50 | $234.42 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $141.25 | Facility | None | $91.20 | $93.33 | $141.25 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $158.49 | Professional | None | $87.10 | $87.10 | $158.49 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | None | $87.10 | $87.10 | $162.18 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $13.18 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $8.91 | $10.47 | $10.47 |
Where Minnesota sits
The same service costs 1.6 times more in Alaska than in Texas. 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· 9th of 51
$95.50
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.