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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $257.04 | Facility | None | $91.20 | $141.25 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $239.88 | Professional | None | $91.20 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $346.74 | Facility | None | $141.25 | $223.87 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | None | $95.50 | $104.71 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $338.84 | Facility | None | $125.89 | $204.17 | $338.84 |
Health Partners Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $177.83 | Facility | None | $93.33 | $93.33 | $177.83 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $436.52 | Professional | None | $91.20 | $93.33 | $436.52 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
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 $46.77 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Where Minnesota sits
The same service costs 2.1 times more in Wyoming than in Kentucky. 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
$120
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.