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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Minnesota Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $31.62 | Facility | None | $18.62 | $20.42 | $31.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | None | $16.98 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $70.79 Typical High $177.83 | Facility | None | $13.49 | $70.79 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $30.20 | Professional | None | $23.99 | $25.70 | $30.20 |
Health Partners Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $169.82 | Facility | None | $44.67 | $72.44 | $169.82 |
Health Partners Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $20.89 Typical High $102.33 | Facility | None | $11.22 | $20.89 | $102.33 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $128.82 | Professional | None | $8.13 | $10.96 | $128.82 |
United Setting Facility Modifier None Typical Low $7.94 Median $9.77 Typical High $26.92 | Facility | None | $7.94 | $9.77 | $26.92 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $21.38 | Professional | None | $6.92 | $10.96 | $21.38 |
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 $7.24 Median $7.24 Typical High $7.24 | Facility | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | 55 · Aftercare only | $2.14 | $2.14 | $2.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Facility | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
Where Minnesota sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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· 3rd of 51
$19.95
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.