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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | None | $28.84 | $36.31 | $36.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $30.90 Median $45.71 Typical High $61.66 | Facility | None | $30.90 | $45.71 | $61.66 |
BCBS Minnesota Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $30.90 | Professional | None | $24.55 | $29.51 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $27.54 | Facility | None | $9.33 | $11.48 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $11.48 | Professional | None | $9.12 | $10.00 | $11.48 |
Health Partners Setting Facility Modifier None Typical Low $8.91 Median $10.23 Typical High $33.88 | Facility | None | $8.91 | $10.23 | $33.88 |
Health Partners Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $31.62 Typical High $61.66 | Facility | None | $9.33 | $31.62 | $61.66 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $54.95 | Professional | None | $30.20 | $31.62 | $54.95 |
United Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $48.98 | Professional | None | $30.20 | $31.62 | $48.98 |
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 $18.20 Median $18.20 Typical High $18.20 | Facility | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $14.45 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.88 | $3.63 | $3.63 |
Where Minnesota sits
The same service costs 4.7 times more in Alaska 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· 48th of 51
$27.54
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.