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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | None | $54.95 | $54.95 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $138.04 | Facility | None | $60.26 | $107.15 | $138.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $66.07 | Professional | None | $44.67 | $56.23 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $107.15 | Facility | None | $83.18 | $89.13 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $70.79 | Professional | None | $56.23 | $58.88 | $70.79 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Health Partners Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $147.91 | Facility | None | $77.62 | $131.83 | $147.91 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $316.23 | Professional | None | $77.62 | $87.10 | $316.23 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $91.20 | Professional | None | $56.23 | $58.88 | $91.20 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 52 · Reduced service | $27.54 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | 53 · Discontinued | $10.96 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.62 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 23rd of 51
$56.23
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.