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 $58.88 Median $58.88 Typical High $63.10 | Professional | None | $58.88 | $58.88 | $63.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $123.03 | Facility | None | $63.10 | $100.00 | $123.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $63.10 | Professional | None | $50.12 | $61.66 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $79.43 Typical High $93.33 | Facility | None | $74.13 | $79.43 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | None | $60.26 | $61.66 | $75.86 |
Health Partners Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $120.23 | Facility | None | $63.10 | $107.15 | $120.23 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $302.00 | Professional | None | $63.10 | $70.79 | $302.00 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $97.72 | Professional | None | $60.26 | $63.10 | $97.72 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
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 $8.71 Median $8.71 Typical High $8.71 | Facility | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
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 $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.03 |
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· 20th of 51
$60.26
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.