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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | None | $14.79 | $15.14 | $15.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $346.74 | Facility | None | $60.26 | $63.10 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | None | $51.29 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $74.13 Typical High $186.21 | Facility | None | $28.18 | $74.13 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | None | $25.12 | $27.54 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $173.78 | Facility | None | $46.77 | $74.13 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $39.81 Typical High $114.82 | Facility | None | $11.22 | $39.81 | $114.82 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $60.26 | Professional | None | $11.75 | $16.22 | $60.26 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $29.51 | Professional | None | $9.33 | $15.49 | $29.51 |
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 $7.59 Median $7.59 Typical High $7.59 | Facility | 52 · Reduced service | $7.59 | $7.59 | $7.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | 53 · Discontinued | $3.02 | $3.02 | $3.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | 55 · Aftercare only | $2.24 | $2.24 | $2.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | 56 · Pre-op care only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $7.41 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.95 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 55 · Aftercare only | $2.19 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.48 | $1.51 | $1.51 |
Where Minnesota sits
The same service costs 8.7 times more in Hawaii 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· 14th of 51
$25.12
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.