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 $12.88 Median $12.88 Typical High $60.26 | Facility | None | $12.88 | $12.88 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | None | $12.88 | $12.88 | $14.45 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $30.20 Typical High $31.62 | Facility | None | $12.59 | $30.20 | $31.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $14.79 | Professional | None | $10.96 | $12.59 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $57.54 | Facility | None | $20.42 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $16.60 | Professional | None | $13.18 | $14.45 | $16.60 |
Health Partners Setting Facility Modifier None Typical Low $16.22 Median $39.81 Typical High $58.88 | Facility | None | $16.22 | $39.81 | $58.88 |
Health Partners Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Medica Setting Facility Modifier None Typical Low $0.54 Median $10.00 Typical High $46.77 | Facility | None | $0.54 | $10.00 | $46.77 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $23.44 | Professional | None | $12.88 | $12.88 | $23.44 |
United Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $27.54 | Professional | None | $14.79 | $14.79 | $27.54 |
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 $6.46 Median $6.46 Typical High $6.46 | Facility | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | 55 · Aftercare only | $1.95 | $1.95 | $1.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | 56 · Pre-op care only | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.69 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $2.00 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.32 |
Where Minnesota sits
The same service costs 2.0 times more in South Carolina 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· 46th of 51
$13.49
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.