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 $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.24 Typical High $3.24 | Professional | None | $2.69 | $3.24 | $3.24 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.07 Median $5.37 Typical High $7.41 | Facility | None | $4.07 | $5.37 | $7.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | None | $3.55 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $14.13 Typical High $36.31 | Facility | None | $2.69 | $14.13 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $6.17 | Professional | None | $4.90 | $5.13 | $6.17 |
Health Partners Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $34.67 | Facility | None | $9.12 | $14.45 | $34.67 |
Health Partners Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Medica Setting Facility Modifier None Typical Low $1.91 Median $4.47 Typical High $79.43 | Facility | None | $1.91 | $4.47 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.66 Median $2.09 Typical High $21.38 | Professional | None | $1.66 | $2.09 | $21.38 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.09 Typical High $4.07 | Professional | None | $1.45 | $2.09 | $4.07 |
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 $1.62 Median $1.62 Typical High $1.62 | Facility | 52 · Reduced service | $1.62 | $1.62 | $1.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.65 | Facility | 53 · Discontinued | $0.65 | $0.65 | $0.65 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | 55 · Aftercare only | $0.48 | $0.48 | $0.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.32 Typical High $0.32 | Facility | 56 · Pre-op care only | $0.32 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.38 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.38 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.55 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.55 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.41 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.41 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.28 | $0.32 | $0.32 |
Where Minnesota sits
The same service costs 2.1 times more in Montana than in New Hampshire. 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· 4th of 51
$3.98
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.