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 $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.86 Typical High $1.86 | Professional | None | $1.82 | $1.86 | $1.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.34 Median $3.09 Typical High $4.37 | Facility | None | $2.34 | $3.09 | $4.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $2.57 | Professional | None | $2.04 | $2.57 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $8.91 Typical High $22.39 | Facility | None | $1.70 | $8.91 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.16 Typical High $3.80 | Professional | None | $3.02 | $3.16 | $3.80 |
Health Partners Setting Facility Modifier None Typical Low $5.62 Median $8.91 Typical High $21.38 | Facility | None | $5.62 | $8.91 | $21.38 |
Health Partners Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medica Setting Facility Modifier None Typical Low $1.10 Median $2.63 Typical High $79.43 | Facility | None | $1.10 | $2.63 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.00 Median $1.20 Typical High $12.59 | Professional | None | $1.00 | $1.20 | $12.59 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.20 Typical High $2.19 | Professional | None | $0.83 | $1.20 | $2.19 |
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 $0.93 Median $0.93 Typical High $0.93 | Facility | 52 · Reduced service | $0.93 | $0.93 | $0.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.37 | Facility | 53 · Discontinued | $0.37 | $0.37 | $0.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Facility | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.91 Median $0.93 Typical High $0.93 | Professional | 52 · Reduced service | $0.91 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 53 · Discontinued | $0.36 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.27 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.18 | $0.19 | $0.19 |
Where Minnesota sits
The same service costs 2.3 times more in Kansas than in Connecticut. 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· 10th of 51
$2.29
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.