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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | None | $70.79 | $70.79 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $91.20 Median $102.33 Typical High $154.88 | Facility | None | $91.20 | $102.33 | $154.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | None | $83.18 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $346.74 Typical High $891.25 | Facility | None | $66.07 | $346.74 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $151.36 | Professional | None | $117.49 | $125.89 | $151.36 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $831.76 | Facility | None | $223.87 | $354.81 | $831.76 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $537.03 | Facility | None | $61.66 | $107.15 | $537.03 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $676.08 | Professional | None | $40.74 | $56.23 | $676.08 |
United Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $138.04 | Facility | None | $46.77 | $61.66 | $138.04 |
United Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $109.65 | Professional | None | $33.88 | $54.95 | $109.65 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.79 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $11.22 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.41 |
Where Minnesota sits
The same service costs 2.7 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· 11th of 51
$102
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.