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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | None | $100.00 | $102.33 | $102.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $257.04 | Facility | None | $100.00 | $158.49 | $257.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $89.13 Median $194.98 Typical High $239.88 | Professional | None | $89.13 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $380.19 | Facility | None | $154.88 | $245.47 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | None | $102.33 | $112.20 | $128.82 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $371.54 | Facility | None | $134.90 | $218.78 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $204.17 | Facility | None | $107.15 | $107.15 | $204.17 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $776.25 | Professional | None | $100.00 | $107.15 | $776.25 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 56 · Pre-op care only | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 56 · Pre-op care only | $10.00 | $10.23 | $10.23 |
Where Minnesota sits
The same service costs 2.0 times more in Alaska than in North Carolina. 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· 17th of 51
$126
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.