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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | None | $18.20 | $18.62 | $18.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $47.86 Median $50.12 Typical High $281.84 | Facility | None | $47.86 | $50.12 | $281.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | None | $39.81 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $89.13 Typical High $229.09 | Facility | None | $27.54 | $89.13 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $38.90 | Professional | None | $30.20 | $32.36 | $38.90 |
Health Partners Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $213.80 | Facility | None | $57.54 | $91.20 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $48.98 Typical High $141.25 | Facility | None | $13.49 | $48.98 | $141.25 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $74.13 | Professional | None | $14.45 | $19.95 | $74.13 |
United Setting Professional Modifier None Typical Low $11.48 Median $19.05 Typical High $36.31 | Professional | None | $11.48 | $19.05 | $36.31 |
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 $9.33 Median $9.33 Typical High $9.33 | Facility | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.12 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.63 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.69 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.82 | $1.86 | $1.86 |
Where Minnesota sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 11th of 51
$30.90
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.