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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | None | $19.50 | $19.50 | $21.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $36.31 | Facility | None | $17.78 | $26.92 | $36.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $18.62 | Professional | None | $14.79 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $67.61 | Facility | None | $24.55 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | None | $19.95 | $21.38 | $25.12 |
Health Partners Setting Facility Modifier None Typical Low $19.50 Median $46.77 Typical High $70.79 | Facility | None | $19.50 | $46.77 | $70.79 |
Health Partners Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $34.67 | Facility | None | $18.20 | $28.18 | $34.67 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | None | $18.20 | $18.20 | $33.11 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | None | $18.62 | $18.62 | $34.67 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 55 · Aftercare only | $2.88 | $2.88 | $2.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | 52 · Reduced service | $9.55 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.98 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $2.00 |
Where Minnesota sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 30th of 51
$19.50
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.