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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None | $42.66 | $42.66 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $81.28 | Facility | None | $41.69 | $63.10 | $81.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $40.74 | Professional | None | $32.36 | $36.31 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $44.67 Typical High $53.70 | Facility | None | $42.66 | $44.67 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | None | $43.65 | $47.86 | $54.95 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $42.66 | Facility | None | $41.69 | $41.69 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $69.18 | Facility | None | $32.36 | $40.74 | $69.18 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $74.13 | Professional | None | $40.74 | $40.74 | $74.13 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $75.86 | Professional | None | $40.74 | $40.74 | $75.86 |
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 $21.38 Median $21.38 Typical High $21.38 | Facility | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 53 · Discontinued | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.37 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Maryland. 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
$42.66
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.