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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | None | $8.51 | $8.71 | $8.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.96 Median $14.45 Typical High $20.42 | Facility | None | $10.96 | $14.45 | $20.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $12.02 | Professional | None | $9.77 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $40.74 Typical High $104.71 | Facility | None | $7.08 | $40.74 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $17.78 | Professional | None | $13.80 | $14.79 | $17.78 |
Health Partners Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $97.72 | Facility | None | $26.30 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medica Setting Facility Modifier None Typical Low $5.13 Median $12.30 Typical High $79.43 | Facility | None | $5.13 | $12.30 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $58.88 | Professional | None | $4.79 | $5.62 | $58.88 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $10.23 | Professional | None | $3.98 | $5.62 | $10.23 |
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 $4.37 Median $4.37 Typical High $4.37 | Facility | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | 53 · Discontinued | $1.78 | $1.78 | $1.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.32 Median $1.32 Typical High $1.32 | Facility | 55 · Aftercare only | $1.32 | $1.32 | $1.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.87 Typical High $0.87 | Facility | 56 · Pre-op care only | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $4.27 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.78 Typical High $1.78 | Professional | 53 · Discontinued | $1.70 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.29 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.85 | $0.87 | $0.87 |
Where Minnesota sits
The same service costs 2.1 times more in Hawaii than in Delaware. 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
$10.96
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.