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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $169.82 | Professional | None | $100.00 | $104.71 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $181.97 | Facility | None | $61.66 | $109.65 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $977.24 | Facility | None | $223.87 | $338.84 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $138.04 | Professional | None | $109.65 | $112.20 | $138.04 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $758.58 | Facility | None | $204.17 | $323.59 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $218.78 | Facility | None | $117.49 | $173.78 | $218.78 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $741.31 | Professional | None | $109.65 | $213.80 | $741.31 |
United Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $331.13 | Professional | None | $102.33 | $181.97 | $331.13 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 56 · Pre-op care only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $50.12 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $33.88 | Professional | 53 · Discontinued | $19.95 | $20.89 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.49 Typical High $25.12 | Professional | 55 · Aftercare only | $14.79 | $15.49 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.00 | $10.47 | $16.98 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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· 23rd of 51
$110
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.