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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | None | $57.54 | $72.44 | $72.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $120.23 | Facility | None | $60.26 | $91.20 | $120.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $60.26 | Professional | None | $47.86 | $57.54 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $933.25 | Facility | None | $218.78 | $331.13 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None | $104.71 | $104.71 | $131.83 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $741.31 | Facility | None | $194.98 | $309.03 | $741.31 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $102.33 | Facility | None | $67.61 | $70.79 | $102.33 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $478.63 | Professional | None | $60.26 | $61.66 | $478.63 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | None | $60.26 | $60.26 | $91.20 |
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 $36.31 Median $36.31 Typical High $36.31 | Facility | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $11.48 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $8.71 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $7.24 |
Where Minnesota sits
The same service costs 1.6 times more in Alaska than in Hawaii. 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· 3rd of 51
$85.11
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.