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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $100.00 | Facility | None | $50.12 | $75.86 | $100.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $50.12 | Professional | None | $39.81 | $47.86 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $162.18 | Facility | None | $54.95 | $67.61 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None | $53.70 | $53.70 | $67.61 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $199.53 | Facility | None | $52.48 | $60.26 | $199.53 |
Health Partners Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $100.00 | Facility | None | $52.48 | $52.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $107.15 | Professional | None | $58.88 | $63.10 | $107.15 |
United Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $95.50 | Professional | None | $58.88 | $61.66 | $95.50 |
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 $29.51 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $29.51 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $11.75 | $11.75 | $11.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 55 · Aftercare only | $8.91 | $8.91 | $8.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | 56 · Pre-op care only | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $23.44 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $7.08 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.68 | $5.89 | $5.89 |
Where Minnesota sits
The same service costs 1.6 times more in Alaska than in Pennsylvania. 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· 18th of 51
$53.70
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.