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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | None | $104.71 | $104.71 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $229.09 | Facility | None | $144.54 | $190.55 | $229.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $147.91 | Professional | None | $102.33 | $125.89 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $295.12 | Facility | None | $120.23 | $147.91 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | None | $107.15 | $107.15 | $134.90 |
Health Partners Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $331.13 | Facility | None | $114.82 | $131.83 | $331.13 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $524.81 | Facility | None | $107.15 | $181.97 | $524.81 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $194.98 | Professional | None | $107.15 | $120.23 | $194.98 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $199.53 | Professional | None | $120.23 | $128.82 | $199.53 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.72 |
Where Minnesota sits
The same service costs 1.9 times more in Wyoming than in Vermont. 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· 26th of 51
$112
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.