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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $83.18 | Facility | None | $44.67 | $74.13 | $83.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | None | $33.11 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $56.23 Typical High $125.89 | Facility | None | $45.71 | $56.23 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $48.98 | Professional | None | $38.90 | $39.81 | $48.98 |
Health Partners Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $151.36 | Facility | None | $44.67 | $50.12 | $151.36 |
Health Partners Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $63.10 | Facility | None | $37.15 | $37.15 | $63.10 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $67.61 | Professional | None | $37.15 | $39.81 | $67.61 |
United Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $64.57 | Professional | None | $39.81 | $41.69 | $64.57 |
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 $19.05 Median $19.05 Typical High $19.05 | Facility | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 56 · Pre-op care only | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.89 |
Where Minnesota sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 30th of 51
$38.90
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.