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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | None | $77.62 | $91.20 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $56.23 Median $91.20 Typical High $147.91 | Facility | None | $56.23 | $91.20 | $147.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $77.62 | Professional | None | $61.66 | $69.18 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $151.36 Typical High $204.17 | Facility | None | $74.13 | $151.36 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | None | $57.54 | $64.57 | $72.44 |
Health Partners Setting Facility Modifier None Typical Low $57.54 Median $141.25 Typical High $213.80 | Facility | None | $57.54 | $141.25 | $213.80 |
Health Partners Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $144.54 | Facility | None | $33.88 | $56.23 | $144.54 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $131.83 | Professional | None | $72.44 | $72.44 | $131.83 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $141.25 | Professional | None | $75.86 | $75.86 | $141.25 |
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 $45.71 Median $45.71 Typical High $45.71 | Facility | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $38.90 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $11.48 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.76 | $9.12 | $9.12 |
Where Minnesota sits
The same service costs 25.1 times more in Alabama than in Nebraska. 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· 34th of 51
$75.86
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.