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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | None | $20.42 | $20.89 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $21.38 Median $40.74 Typical High $257.04 | Facility | None | $21.38 | $40.74 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.38 Median $194.98 Typical High $239.88 | Professional | None | $21.38 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $52.48 Typical High $81.28 | Facility | None | $33.11 | $52.48 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $27.54 | Professional | None | $21.88 | $24.55 | $27.54 |
Health Partners Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $79.43 | Facility | None | $29.51 | $46.77 | $79.43 |
Health Partners Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $38.90 | Facility | None | $20.89 | $20.89 | $38.90 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $91.20 | Professional | None | $20.89 | $20.89 | $91.20 |
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 $10.47 Median $10.47 Typical High $10.47 | Facility | 52 · Reduced service | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | 55 · Aftercare only | $3.09 | $3.09 | $3.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | 56 · Pre-op care only | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.23 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.04 | $2.09 | $2.09 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 54 · Surgery only | $125.89 | $125.89 | $125.89 |
Where Minnesota sits
The same service costs 6.3 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· 33rd of 51
$27.54
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.