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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | None | $26.92 | $26.92 | $28.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $58.88 | Facility | None | $34.67 | $38.02 | $58.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $38.90 | Professional | None | $30.90 | $38.02 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $131.83 Typical High $331.13 | Facility | None | $21.38 | $131.83 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $56.23 | Professional | None | $44.67 | $46.77 | $56.23 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $309.03 | Facility | None | $83.18 | $131.83 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $38.90 Typical High $177.83 | Facility | None | $10.96 | $38.90 | $177.83 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $194.98 | Professional | None | $15.14 | $19.05 | $194.98 |
United Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $56.23 | Facility | None | $39.81 | $46.77 | $56.23 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $37.15 | Professional | None | $12.88 | $19.05 | $37.15 |
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 $13.49 Median $13.49 Typical High $13.49 | Facility | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | 56 · Pre-op care only | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $14.13 | Professional | 52 · Reduced service | $13.49 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.17 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.69 | $2.69 | $2.82 |
Where Minnesota sits
The same service costs 2.9 times more in Montana 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· 4th of 51
$38.02
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.