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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | None | $43.65 | $43.65 | $45.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $56.23 Median $61.66 Typical High $95.50 | Facility | None | $56.23 | $61.66 | $95.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | None | $51.29 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $208.93 Typical High $537.03 | Facility | None | $38.90 | $208.93 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $91.20 | Professional | None | $72.44 | $75.86 | $91.20 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $213.80 Typical High $512.86 | Facility | None | $134.90 | $213.80 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $309.03 | Facility | None | $35.48 | $64.57 | $309.03 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $389.05 | Professional | None | $24.55 | $32.36 | $389.05 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $79.43 | Facility | None | $35.48 | $38.02 | $79.43 |
United Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $63.10 | Professional | None | $20.89 | $32.36 | $63.10 |
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 $21.88 Median $21.88 Typical High $21.88 | Facility | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $22.91 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.76 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.57 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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
$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.