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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | None | $35.48 | $43.65 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $144.54 | Facility | None | $70.79 | $100.00 | $144.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | None | $57.54 | $64.57 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $20.89 Typical High $28.18 | Facility | None | $10.23 | $20.89 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $10.00 | Professional | None | $7.94 | $8.91 | $10.00 |
Health Partners Setting Facility Modifier None Typical Low $7.94 Median $19.50 Typical High $29.51 | Facility | None | $7.94 | $19.50 | $29.51 |
Health Partners Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $14.79 Typical High $102.33 | Facility | None | $10.47 | $14.79 | $102.33 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $83.18 | Professional | None | $46.77 | $46.77 | $83.18 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $67.61 | Professional | None | $36.31 | $36.31 | $67.61 |
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 $21.88 Median $21.88 Typical High $21.88 | Facility | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 55 · Aftercare only | $6.61 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $17.78 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.08 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $5.37 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.72 | $4.37 | $4.37 |
Where Minnesota sits
The same service costs 8.1 times more in Kansas than in Hawaii. 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· 4th of 51
$46.77
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.