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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | None | $23.44 | $23.99 | $23.99 |
BCBS Minnesota Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $323.59 | Facility | None | $27.54 | $29.51 | $323.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | None | $23.44 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $199.53 Typical High $501.19 | Facility | None | $30.20 | $199.53 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $85.11 | Professional | None | $66.07 | $70.79 | $85.11 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $467.74 | Facility | None | $125.89 | $199.53 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $63.10 Typical High $186.21 | Facility | None | $17.78 | $63.10 | $186.21 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $97.72 | Professional | None | $18.62 | $26.30 | $97.72 |
United Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $46.77 | Professional | None | $15.14 | $24.55 | $46.77 |
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 $12.02 Median $12.02 Typical High $12.02 | Facility | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | 55 · Aftercare only | $3.63 | $3.63 | $3.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | 56 · Pre-op care only | $2.40 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $11.75 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.55 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.34 | $2.40 | $2.40 |
Where Minnesota sits
The same service costs 6.5 times more in Kansas than in Hawaii. 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· 27th of 51
$29.51
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.