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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | None | $40.74 | $47.86 | $47.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $66.07 | Facility | None | $32.36 | $50.12 | $66.07 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $40.74 | Professional | None | $28.84 | $33.88 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $89.13 Typical High $120.23 | Facility | None | $42.66 | $89.13 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $42.66 | Professional | None | $33.88 | $37.15 | $42.66 |
Health Partners Setting Facility Modifier None Typical Low $33.88 Median $83.18 Typical High $125.89 | Facility | None | $33.88 | $83.18 | $125.89 |
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 $30.20 Median $30.20 Typical High $74.13 | Facility | None | $30.20 | $30.20 | $74.13 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $66.07 | Professional | None | $36.31 | $36.31 | $66.07 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | None | $39.81 | $39.81 | $74.13 |
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 $23.99 Median $23.99 Typical High $23.99 | Facility | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.17 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.07 | $4.79 | $4.79 |
Where Minnesota sits
The same service costs 1.8 times more in Alaska than in Nebraska. 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
$39.81
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.