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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $57.54 | Facility | None | $33.11 | $48.98 | $57.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $30.20 | Professional | None | $23.99 | $29.51 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $75.86 Typical High $104.71 | Facility | None | $38.02 | $75.86 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $37.15 | Professional | None | $29.51 | $32.36 | $37.15 |
Health Partners Setting Facility Modifier None Typical Low $29.51 Median $72.44 Typical High $109.65 | Facility | None | $29.51 | $72.44 | $109.65 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $53.70 | Facility | None | $28.84 | $28.84 | $53.70 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $144.54 | Professional | None | $28.84 | $31.62 | $144.54 |
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 $28.84 Median $30.20 Typical High $46.77 | Professional | None | $28.84 | $30.20 | $46.77 |
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 $14.13 Median $14.13 Typical High $14.13 | Facility | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.95 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 44th of 51
$29.51
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.