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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | None | $3.80 | $3.89 | $3.89 |
BCBS Setting Facility Modifier None Typical Low $4.90 Median $6.46 Typical High $9.12 | Facility | None | $4.90 | $6.46 | $9.12 |
BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | None | $4.27 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $17.78 Typical High $44.67 | Facility | None | $3.55 | $17.78 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $7.59 | Professional | None | $6.03 | $6.31 | $7.59 |
Health Partners Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $42.66 | Facility | None | $11.22 | $17.78 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $5.50 Typical High $79.43 | Facility | None | $2.24 | $5.50 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.45 Typical High $26.30 | Professional | None | $2.09 | $2.45 | $26.30 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.45 Typical High $4.57 | Professional | None | $1.74 | $2.45 | $4.57 |
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 $1.95 Median $1.95 Typical High $1.95 | Facility | 52 · Reduced service | $1.95 | $1.95 | $1.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | 53 · Discontinued | $0.78 | $0.78 | $0.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.58 Median $0.58 Typical High $0.58 | Facility | 55 · Aftercare only | $0.58 | $0.58 | $0.58 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $0.39 | Facility | 56 · Pre-op care only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.91 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.76 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.58 Typical High $0.58 | Professional | 55 · Aftercare only | $0.56 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.38 | $0.39 | $0.39 |
Where Minnesota sits
The same service costs 2.6 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
$4.79
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.