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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $44.67 Median $48.98 Typical High $74.13 | Facility | None | $44.67 | $48.98 | $74.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $50.12 | Professional | None | $39.81 | $48.98 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $169.82 Typical High $426.58 | Facility | None | $27.54 | $169.82 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $72.44 | Professional | None | $57.54 | $60.26 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $398.11 | Facility | None | $107.15 | $169.82 | $398.11 |
Health Partners Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $229.09 | Facility | None | $14.45 | $50.12 | $229.09 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $245.47 | Professional | None | $19.50 | $23.99 | $245.47 |
United Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $70.79 | Facility | None | $50.12 | $60.26 | $70.79 |
United Setting Professional Modifier None Typical Low $16.22 Median $23.99 Typical High $47.86 | Professional | None | $16.22 | $23.99 | $47.86 |
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 $16.98 Median $16.98 Typical High $16.98 | Facility | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | 56 · Pre-op care only | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.37 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.55 |
Where Minnesota sits
The same service costs 2.6 times more in Montana 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· 3rd of 51
$48.98
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.