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 $20.42 Median $50.12 Typical High $204.17 | Facility | None | $20.42 | $50.12 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | None | $61.66 | $75.86 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $74.13 Typical High $144.54 | Facility | None | $69.18 | $74.13 | $144.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $70.79 | Professional | None | $29.51 | $36.31 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $144.54 Typical High $194.98 | Facility | None | $69.18 | $144.54 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $69.18 | Professional | None | $54.95 | $58.88 | $69.18 |
Health Partners Setting Facility Modifier None Typical Low $54.95 Median $134.90 Typical High $204.17 | Facility | None | $54.95 | $134.90 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $89.13 | Facility | None | $28.84 | $46.77 | $89.13 |
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 $63.10 Median $63.10 Typical High $117.49 | Professional | None | $63.10 | $63.10 | $117.49 |
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 $38.02 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $9.12 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.17 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 3.0 times more in Kansas than in South Carolina. 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· 43rd of 51
$57.54
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.