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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None | $40.74 | $51.29 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $41.69 | Facility | None | $20.89 | $31.62 | $41.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $20.89 | Professional | None | $16.60 | $19.95 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $151.36 | Facility | None | $54.95 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | None | $42.66 | $42.66 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $158.49 | Facility | None | $42.66 | $104.71 | $158.49 |
Health Partners Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $85.11 | Facility | None | $43.65 | $52.48 | $85.11 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $229.09 | Professional | None | $40.74 | $44.67 | $229.09 |
United Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $66.07 | Professional | None | $40.74 | $42.66 | $66.07 |
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 $25.70 Median $25.70 Typical High $25.70 | Facility | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $20.42 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $6.17 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.07 | $5.13 | $5.13 |
Where Minnesota sits
The same service costs 2.0 times more in Alaska than in New Mexico. 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· 14th of 51
$42.66
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.