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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | None | $33.88 | $33.88 | $38.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $97.72 | Facility | None | $38.02 | $40.74 | $97.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $30.20 | Professional | None | $23.99 | $26.92 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $89.13 | Facility | None | $25.70 | $31.62 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $43.65 | Professional | None | $34.67 | $35.48 | $43.65 |
Health Partners Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $100.00 | Facility | None | $24.55 | $28.18 | $100.00 |
Health Partners Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $204.17 | Facility | None | $24.55 | $28.18 | $204.17 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $52.48 | Professional | None | $28.18 | $30.20 | $52.48 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $52.48 | Professional | None | $28.18 | $30.20 | $52.48 |
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 $16.98 Median $16.98 Typical High $16.98 | Facility | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | 53 · Discontinued | $6.76 | $6.76 | $6.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | 56 · Pre-op care only | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.55 |
Where Minnesota sits
The same service costs 5.4 times more in Wyoming than in Arizona. 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· 20th of 51
$33.88
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.