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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None | $138.04 | $138.04 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $263.03 | Facility | None | $95.50 | $234.42 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | None | $107.15 | $120.23 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $169.82 | Facility | None | $134.90 | $144.54 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $177.83 | Professional | None | $141.25 | $154.88 | $177.83 |
Health Partners Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $575.44 | Facility | None | $120.23 | $223.87 | $575.44 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $245.47 | Professional | None | $131.83 | $147.91 | $245.47 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $251.19 | Professional | None | $131.83 | $147.91 | $251.19 |
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 $69.18 Median $69.18 Typical High $69.18 | Facility | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $27.54 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $14.13 |
Where Minnesota sits
The same service costs 5.5 times more in Texas than in Oregon. 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· 35th of 51
$138
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.