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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None | $89.13 | $89.13 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $125.89 Typical High $194.98 | Facility | None | $114.82 | $125.89 | $194.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | None | $104.71 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $436.52 Typical High $1,096.48 | Facility | None | $70.79 | $436.52 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | None | $147.91 | $154.88 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,047.13 | Facility | None | $275.42 | $436.52 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $128.82 Typical High $588.84 | Facility | None | $38.02 | $128.82 | $588.84 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $645.65 | Professional | None | $50.12 | $63.10 | $645.65 |
United Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $186.21 | Facility | None | $131.83 | $154.88 | $186.21 |
United Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $123.03 | Professional | None | $42.66 | $63.10 | $123.03 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | 56 · Pre-op care only | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $9.33 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii 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
$126
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.