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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | None | $48.98 | $61.66 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14.13 Median $53.70 Typical High $109.65 | Facility | None | $14.13 | $53.70 | $109.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $54.95 | Professional | None | $43.65 | $52.48 | $54.95 |
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 $9.12 Median $10.23 Typical High $33.88 | Facility | None | $9.12 | $10.23 | $33.88 |
Health Partners Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $9.33 Typical High $102.33 | Facility | None | $8.91 | $9.33 | $102.33 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $407.38 | Professional | None | $50.12 | $56.23 | $407.38 |
United Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $81.28 | Professional | None | $50.12 | $52.48 | $81.28 |
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 $30.90 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $24.55 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $7.41 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.90 | $6.17 | $6.17 |
Where Minnesota sits
The same service costs 6.6 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· 46th of 51
$48.98
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.