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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $64.57 | Facility | None | $32.36 | $51.29 | $64.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $33.88 | Professional | None | $27.54 | $30.90 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $41.69 | Facility | None | $33.11 | $34.67 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | None | $33.11 | $33.88 | $41.69 |
Health Partners Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Health Partners Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $54.95 Typical High $61.66 | Facility | None | $32.36 | $54.95 | $61.66 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $144.54 | Professional | None | $32.36 | $32.36 | $144.54 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | None | $32.36 | $32.36 | $47.86 |
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 $16.22 Median $16.22 Typical High $16.22 | Facility | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.76 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $5.01 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.39 |
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· 12th of 51
$33.11
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.