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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | None | $60.26 | $60.26 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $208.93 | Facility | None | $125.89 | $177.83 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $112.20 | Professional | None | $64.57 | $81.28 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $263.03 | Facility | None | $112.20 | $138.04 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $77.62 | Professional | None | $61.66 | $63.10 | $77.62 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $275.42 | Facility | None | $107.15 | $123.03 | $275.42 |
Health Partners Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $104.71 Typical High $177.83 | Facility | None | $102.33 | $104.71 | $177.83 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $190.55 | Professional | None | $104.71 | $114.82 | $190.55 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $138.04 | Professional | None | $77.62 | $81.28 | $138.04 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.17 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 25th of 51
$67.61
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.