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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | None | $128.82 | $151.36 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $128.82 Median $190.55 Typical High $263.03 | Facility | None | $128.82 | $190.55 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $128.82 | Professional | None | $102.33 | $114.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $141.25 Typical High $194.98 | Facility | None | $69.18 | $141.25 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Health Partners Setting Facility Modifier None Typical Low $54.95 Median $131.83 Typical High $204.17 | Facility | None | $54.95 | $131.83 | $204.17 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $151.36 Typical High $251.19 | Facility | None | $131.83 | $151.36 | $251.19 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $229.09 | Professional | None | $125.89 | $125.89 | $229.09 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $234.42 | Professional | None | $125.89 | $125.89 | $234.42 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $63.10 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.88 | $15.14 | $15.14 |
Where Minnesota sits
The same service costs 2.3 times more in Texas 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· 20th of 51
$129
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.