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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | None | $4.68 | $4.79 | $4.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.03 Median $7.94 Typical High $11.22 | Facility | None | $6.03 | $7.94 | $11.22 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $6.61 | Professional | None | $5.37 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $22.39 Typical High $56.23 | Facility | None | $3.89 | $22.39 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $9.55 | Professional | None | $7.59 | $7.94 | $9.55 |
Health Partners Setting Facility Modifier None Typical Low $14.13 Median $22.39 Typical High $52.48 | Facility | None | $14.13 | $22.39 | $52.48 |
Health Partners Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $6.92 Typical High $79.43 | Facility | None | $4.17 | $6.92 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $12.02 | Professional | None | $2.57 | $3.09 | $12.02 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $5.62 | Professional | None | $2.19 | $3.09 | $5.62 |
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 $2.40 Median $2.40 Typical High $2.40 | Facility | 52 · Reduced service | $2.40 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | 53 · Discontinued | $0.98 | $0.98 | $0.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.72 Median $0.72 Typical High $0.72 | Facility | 55 · Aftercare only | $0.72 | $0.72 | $0.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | 56 · Pre-op care only | $0.48 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 52 · Reduced service | $2.34 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.98 Typical High $0.98 | Professional | 53 · Discontinued | $0.93 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.72 Typical High $0.72 | Professional | 55 · Aftercare only | $0.71 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.48 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.47 | $0.48 | $0.48 |
Where Minnesota sits
The same service costs 2.1 times more in Montana than in New Jersey. 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
$6.03
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.