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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None | $35.48 | $35.48 | $37.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $77.62 | Facility | None | $45.71 | $50.12 | $77.62 |
BCBS Minnesota Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | None | $41.69 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $173.78 Typical High $436.52 | Facility | None | $33.88 | $173.78 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $74.13 | Professional | None | $58.88 | $61.66 | $74.13 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $416.87 | Facility | None | $109.65 | $173.78 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $51.29 Typical High $234.42 | Facility | None | $14.45 | $51.29 | $234.42 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $257.04 | Professional | None | $19.95 | $25.12 | $257.04 |
United Setting Facility Modifier None Typical Low $52.48 Median $61.66 Typical High $74.13 | Facility | None | $52.48 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $48.98 | Professional | None | $16.98 | $25.12 | $48.98 |
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 $17.78 Median $17.78 Typical High $17.78 | Facility | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | 56 · Pre-op care only | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $17.78 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $3.72 |
Where Minnesota sits
The same service costs 2.2 times more in Montana than in Arizona. 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· 4th of 51
$50.12
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.