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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | None | $8.32 | $8.51 | $8.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $19.95 | Facility | None | $10.72 | $14.13 | $19.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | None | $9.33 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $39.81 Typical High $100.00 | Facility | None | $7.59 | $39.81 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $16.98 | Professional | None | $13.49 | $14.45 | $16.98 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $12.02 Typical High $79.43 | Facility | None | $4.90 | $12.02 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $57.54 | Professional | None | $4.57 | $5.37 | $57.54 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $10.00 | Professional | None | $3.80 | $5.37 | $10.00 |
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 $4.27 Median $4.27 Typical High $4.27 | Facility | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | 55 · Aftercare only | $1.29 | $1.29 | $1.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 56 · Pre-op care only | $0.85 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.17 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.66 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $1.26 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.83 | $0.85 | $0.85 |
Where Minnesota sits
The same service costs 2.1 times more in Idaho 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· 9th of 51
$10.47
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.