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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | None | $53.70 | $63.10 | $63.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $85.11 | Facility | None | $66.07 | $72.44 | $85.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $53.70 | Professional | None | $43.65 | $48.98 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $177.83 | Facility | None | $63.10 | $128.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $63.10 | Professional | None | $50.12 | $53.70 | $63.10 |
Health Partners Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $181.97 | Facility | None | $50.12 | $120.23 | $181.97 |
Health Partners Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $190.55 | Facility | None | $35.48 | $52.48 | $190.55 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | None | $52.48 | $52.48 | $95.50 |
United Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $123.03 | Facility | None | $87.10 | $93.33 | $123.03 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $97.72 | Professional | None | $52.48 | $52.48 | $97.72 |
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 $31.62 Median $31.62 Typical High $31.62 | Facility | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.37 | $6.31 | $6.31 |
Where Minnesota sits
The same service costs 6.6 times more in Alabama than in Kansas. 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· 13th of 51
$53.70
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.