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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | None | $54.95 | $56.23 | $56.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.44 Median $24.55 Typical High $316.23 | Facility | None | $23.44 | $24.55 | $316.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | None | $19.50 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $275.42 Typical High $691.83 | Facility | None | $38.02 | $275.42 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $117.49 | Professional | None | $93.33 | $97.72 | $117.49 |
Health Partners Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $645.65 | Facility | None | $173.78 | $275.42 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $151.36 Typical High $436.52 | Facility | None | $41.69 | $151.36 | $436.52 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $229.09 | Professional | None | $43.65 | $61.66 | $229.09 |
United Setting Professional Modifier None Typical Low $35.48 Median $57.54 Typical High $109.65 | Professional | None | $35.48 | $57.54 | $109.65 |
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 $28.18 Median $28.18 Typical High $28.18 | Facility | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | 56 · Pre-op care only | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $27.54 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.96 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.50 | $5.62 | $5.62 |
Where Minnesota sits
The same service costs 49.0 times more in North Dakota 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· 25th of 51
$56.23
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.