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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | None | $20.89 | $26.30 | $26.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $22.91 Median $141.25 Typical High $257.04 | Facility | None | $22.91 | $141.25 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $275.42 | Facility | None | $63.10 | $95.50 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $38.90 | Professional | None | $23.99 | $30.90 | $38.90 |
Health Partners Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $213.80 | Facility | None | $57.54 | $91.20 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $38.02 Typical High $52.48 | Facility | None | $16.98 | $38.02 | $52.48 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $61.66 Typical High $147.91 | Professional | None | $23.99 | $61.66 | $147.91 |
United Setting Professional Modifier None Typical Low $23.44 Median $45.71 Typical High $79.43 | Professional | None | $23.44 | $45.71 | $79.43 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | 56 · Pre-op care only | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $10.47 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.16 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.09 | $2.63 | $2.63 |
Where Minnesota sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 7th of 51
$40.74
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.