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 $64.57 | Professional | None | $63.10 | $63.10 | $64.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $114.82 | Facility | None | $50.12 | $75.86 | $114.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $57.54 | Professional | None | $44.67 | $51.29 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $213.80 | Facility | None | $75.86 | $154.88 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None | $64.57 | $64.57 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $218.78 | Facility | None | $60.26 | $147.91 | $218.78 |
Health Partners Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Medica Setting Facility Modifier None Typical Low $2.09 Median $10.00 Typical High $91.20 | Facility | None | $2.09 | $10.00 | $91.20 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $309.03 | Professional | None | $53.70 | $53.70 | $309.03 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | None | $57.54 | $57.54 | $85.11 |
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 $31.62 Median $31.62 Typical High $31.62 | Facility | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
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 $31.62 Median $31.62 Typical High $32.36 | Professional | 52 · Reduced service | $31.62 | $31.62 | $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 $9.77 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.77 |
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
Rates are fairly even across states for this service. 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· 6th of 51
$64.57
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.