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 $1.32 Median $1.32 Typical High $1.32 | Facility | None | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.32 Typical High $1.32 | Professional | None | $1.29 | $1.32 | $1.32 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.70 Median $2.19 Typical High $3.09 | Facility | None | $1.70 | $2.19 | $3.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.48 Median $1.82 Typical High $1.82 | Professional | None | $1.48 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $6.61 Typical High $16.98 | Facility | None | $1.10 | $6.61 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.40 Typical High $2.88 | Professional | None | $2.24 | $2.40 | $2.88 |
Health Partners Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $15.85 | Facility | None | $4.27 | $6.76 | $15.85 |
Health Partners Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Medica Setting Facility Modifier None Typical Low $0.78 Median $1.91 Typical High $79.43 | Facility | None | $0.78 | $1.91 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.72 Median $0.85 Typical High $8.91 | Professional | None | $0.72 | $0.85 | $8.91 |
United Setting Professional Modifier None Typical Low $0.60 Median $0.85 Typical High $1.55 | Professional | None | $0.60 | $0.85 | $1.55 |
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 $0.68 Median $0.68 Typical High $0.68 | Facility | 52 · Reduced service | $0.68 | $0.68 | $0.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.27 | Facility | 53 · Discontinued | $0.27 | $0.27 | $0.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Facility | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.68 Typical High $0.68 | Professional | 52 · Reduced service | $0.65 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.27 Typical High $0.27 | Professional | 53 · Discontinued | $0.26 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Where Minnesota sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 12th of 51
$1.66
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.