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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | None | $32.36 | $38.02 | $38.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $64.57 | Facility | None | $26.30 | $42.66 | $64.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $32.36 | Professional | None | $22.91 | $26.30 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $104.71 | Facility | None | $56.23 | $77.62 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | None | $26.92 | $30.90 | $33.88 |
Health Partners Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $100.00 | Facility | None | $50.12 | $69.18 | $100.00 |
Health Partners Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $51.29 | Facility | None | $27.54 | $45.71 | $51.29 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | None | $27.54 | $27.54 | $48.98 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None | $32.36 | $32.36 | $60.26 |
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 $19.05 Median $19.05 Typical High $19.05 | Facility | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 56 · Pre-op care only | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $16.22 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $4.90 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.24 | $3.80 | $3.80 |
Where Minnesota sits
The same service costs 1.9 times more in Alaska than in Connecticut. 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· 14th of 51
$32.36
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.