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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $70.79 | Professional | None | $61.66 | $69.18 | $70.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $89.13 Median $97.72 Typical High $147.91 | Facility | None | $89.13 | $97.72 | $147.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $331.13 Typical High $851.14 | Facility | None | $72.44 | $331.13 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $144.54 | Professional | None | $112.20 | $120.23 | $144.54 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $794.33 | Facility | None | $213.80 | $338.84 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $562.34 | Facility | None | $63.10 | $102.33 | $562.34 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $208.93 | Professional | None | $38.90 | $53.70 | $208.93 |
United Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $131.83 | Facility | None | $64.57 | $100.00 | $131.83 |
United Setting Professional Modifier None Typical Low $32.36 Median $53.70 Typical High $104.71 | Professional | None | $32.36 | $53.70 | $104.71 |
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 $33.88 Median $33.88 Typical High $33.88 | Facility | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 55 · Aftercare only | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $35.48 | Professional | 52 · Reduced service | $33.88 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.72 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $7.08 |
Where Minnesota sits
The same service costs 5.0 times more in Hawaii than in Florida. 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· 9th of 51
$95.50
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.