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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $63.10 | Facility | None | $37.15 | $41.69 | $63.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | None | $33.88 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $141.25 Typical High $354.81 | Facility | None | $22.91 | $141.25 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $61.66 | Professional | None | $47.86 | $51.29 | $61.66 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $338.84 | Facility | None | $91.20 | $144.54 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $41.69 Typical High $190.55 | Facility | None | $17.78 | $41.69 | $190.55 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $208.93 | Professional | None | $16.60 | $20.42 | $208.93 |
United Setting Facility Modifier None Typical Low $42.66 Median $50.12 Typical High $60.26 | Facility | None | $42.66 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $13.80 Median $20.42 Typical High $39.81 | Professional | None | $13.80 | $20.42 | $39.81 |
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 $14.45 Median $14.45 Typical High $14.45 | Facility | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.57 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.02 |
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· 2nd of 51
$41.69
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.