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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | None | $70.79 | $89.13 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $141.25 | Facility | None | $70.79 | $107.15 | $141.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $70.79 | Professional | None | $56.23 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $190.55 Typical High $263.03 | Facility | None | $93.33 | $190.55 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | None | $72.44 | $79.43 | $91.20 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $269.15 | Facility | None | $74.13 | $181.97 | $269.15 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $151.36 | Facility | None | $120.23 | $138.04 | $151.36 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $162.18 | Professional | None | $89.13 | $89.13 | $162.18 |
United Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | None | $89.13 | $89.13 | $165.96 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $35.48 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.08 | $8.91 | $8.91 |
Where Minnesota sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 17th of 51
$89.13
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.