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 $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.12 Median $15.49 Typical High $257.04 | Facility | None | $9.12 | $15.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.12 Median $194.98 Typical High $239.88 | Professional | None | $9.12 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $34.67 | Facility | None | $13.80 | $22.39 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $11.75 | Professional | None | $9.33 | $10.23 | $11.75 |
Health Partners Setting Facility Modifier None Typical Low $12.30 Median $19.95 Typical High $33.88 | Facility | None | $12.30 | $19.95 | $33.88 |
Health Partners Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Medica Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $4.90 | Facility | None | $2.45 | $2.45 | $4.90 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $5,370.32 | Professional | None | $2.45 | $2.45 | $5,370.32 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
9 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 $1.29 Median $1.29 Typical High $1.29 | Facility | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Facility | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Facility | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Facility | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $6.17 Median $11.22 Typical High $125.89 | Professional | 54 · Surgery only | $6.17 | $11.22 | $125.89 |
Where Minnesota sits
The same service costs 50.1 times more in Massachusetts than in Indiana. 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· 41st of 51
$11.75
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.