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 $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $13.80 | Professional | None | $3.31 | $5.01 | $13.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $46.77 | Facility | None | $20.42 | $28.84 | $46.77 |
BCBS Minnesota Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $31.62 | Professional | None | $18.20 | $22.91 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $120.23 | Facility | None | $28.18 | $42.66 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $54.95 | Professional | None | $21.88 | $32.36 | $54.95 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $40.74 Typical High $95.50 | Facility | None | $25.12 | $40.74 | $95.50 |
Health Partners Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $48.98 | Professional | None | $20.42 | $28.84 | $48.98 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $21.38 Typical High $26.92 | Facility | None | $8.51 | $21.38 | $26.92 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $22.91 Typical High $35.48 | Professional | None | $12.88 | $22.91 | $35.48 |
United Setting Professional Modifier None Typical Low $12.02 Median $22.91 Typical High $37.15 | Professional | None | $12.02 | $22.91 | $37.15 |
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 $2.51 Median $2.51 Typical High $2.51 | Facility | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | 55 · Aftercare only | $0.76 | $0.76 | $0.76 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.50 Typical High $0.50 | Facility | 56 · Pre-op care only | $0.50 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 55 · Aftercare only | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.50 | $0.50 | $0.50 |
Where Minnesota sits
The same service costs 6.6 times more in Alabama 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· 4th of 51
$23.99
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.