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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | None | $63.10 | $63.10 | $69.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $100.00 | Facility | None | $58.88 | $89.13 | $100.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $61.66 | Professional | None | $48.98 | $56.23 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $165.96 Typical High $229.09 | Facility | None | $81.28 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $81.28 | Professional | None | $64.57 | $70.79 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $64.57 Median $158.49 Typical High $234.42 | Facility | None | $64.57 | $158.49 | $234.42 |
Health Partners Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $95.50 | Facility | None | $30.90 | $34.67 | $95.50 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $104.71 | Professional | None | $56.23 | $63.10 | $104.71 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $114.82 | Professional | None | $61.66 | $69.18 | $114.82 |
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 $30.90 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.46 |
Where Minnesota sits
The same service costs 9.3 times more in Alabama 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· 38th of 51
$63.10
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.