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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $57.54 | Facility | None | $28.84 | $43.65 | $57.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | None | $22.91 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $109.65 | Facility | None | $39.81 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $38.90 | Professional | None | $30.90 | $33.88 | $38.90 |
Health Partners Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $114.82 | Facility | None | $30.90 | $75.86 | $114.82 |
Health Partners Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $57.54 | Facility | None | $20.42 | $30.20 | $57.54 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $51.29 | Professional | None | $28.18 | $28.18 | $51.29 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $63.10 | Professional | None | $33.88 | $33.88 | $63.10 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 55 · Aftercare only | $5.25 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Oklahoma. 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· 29th of 51
$32.36
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.