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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $26.92 Median $52.48 Typical High $53.70 | Facility | None | $26.92 | $52.48 | $53.70 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | None | $21.38 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $29.51 Typical High $35.48 | Facility | None | $27.54 | $29.51 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $34.67 | Professional | None | $27.54 | $29.51 | $34.67 |
Health Partners Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
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 $25.12 Median $42.66 Typical High $95.50 | Facility | None | $25.12 | $42.66 | $95.50 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $45.71 | Professional | None | $25.12 | $25.12 | $45.71 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $50.12 | Professional | None | $26.92 | $26.92 | $50.12 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | 56 · Pre-op care only | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $2.75 |
Where Minnesota sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 51st of 51
$26.92
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.