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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | None | $41.69 | $54.95 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $120.23 | Facility | None | $70.79 | $79.43 | $120.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None | $64.57 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $269.15 Typical High $676.08 | Facility | None | $46.77 | $269.15 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $117.49 | Professional | None | $91.20 | $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 $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $79.43 Typical High $354.81 | Facility | None | $39.81 | $79.43 | $354.81 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $426.58 | Professional | None | $29.51 | $36.31 | $426.58 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $89.13 | Facility | None | $43.65 | $43.65 | $89.13 |
United Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $70.79 | Professional | None | $25.70 | $36.31 | $70.79 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Where Minnesota sits
The same service costs 3.1 times more in Hawaii than in Florida. 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· 5th of 51
$72.44
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.