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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | None | $19.05 | $19.95 | $19.95 |
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 $28.84 Median $95.50 Typical High $239.88 | Facility | None | $28.84 | $95.50 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | None | $32.36 | $33.88 | $40.74 |
Health Partners Setting Facility Modifier None Typical Low $60.26 Median $95.50 Typical High $229.09 | Facility | None | $60.26 | $95.50 | $229.09 |
Health Partners Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $52.48 Typical High $151.36 | Facility | None | $14.45 | $52.48 | $151.36 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $79.43 | Professional | None | $15.49 | $21.38 | $79.43 |
United Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $38.02 | Professional | None | $12.30 | $19.95 | $38.02 |
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 $9.77 Median $9.77 Typical High $9.77 | Facility | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 53 · Discontinued | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | 55 · Aftercare only | $2.95 | $2.95 | $2.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.80 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.88 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.91 | $1.95 | $1.95 |
Where Minnesota sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 7th of 51
$32.36
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.