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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $91.20 | Facility | None | $53.70 | $60.26 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | None | $48.98 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $204.17 Typical High $512.86 | Facility | None | $33.11 | $204.17 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $89.13 | Professional | None | $69.18 | $74.13 | $89.13 |
Health Partners Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $489.78 | Facility | None | $131.83 | $208.93 | $489.78 |
Health Partners Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $60.26 Typical High $275.42 | Facility | None | $17.78 | $60.26 | $275.42 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $302.00 | Professional | None | $23.99 | $29.51 | $302.00 |
United Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $87.10 | Facility | None | $61.66 | $72.44 | $87.10 |
United Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $57.54 | Professional | None | $19.95 | $29.51 | $57.54 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.61 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.37 |
Where Minnesota sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 3rd of 51
$60.26
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.