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 $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | None | $6.61 | $6.76 | $6.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.51 Median $11.22 Typical High $15.85 | Facility | None | $8.51 | $11.22 | $15.85 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $9.33 | Professional | None | $7.41 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $30.90 Typical High $77.62 | Facility | None | $5.50 | $30.90 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $13.49 | Professional | None | $10.47 | $11.22 | $13.49 |
Health Partners Setting Facility Modifier None Typical Low $19.95 Median $31.62 Typical High $74.13 | Facility | None | $19.95 | $31.62 | $74.13 |
Health Partners Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Medica Setting Facility Modifier None Typical Low $3.89 Median $9.33 Typical High $79.43 | Facility | None | $3.89 | $9.33 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $45.71 | Professional | None | $3.63 | $4.27 | $45.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $7.76 | Professional | None | $3.02 | $4.27 | $7.76 |
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 $3.39 Median $3.39 Typical High $3.39 | Facility | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 55 · Aftercare only | $1.00 | $1.00 | $1.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.68 | Facility | 56 · Pre-op care only | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.31 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.32 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $0.98 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.66 | $0.68 | $0.68 |
Where Minnesota sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$8.32
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.