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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $10.00 | Professional | None | $9.55 | $10.00 | $10.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $22.91 | Facility | None | $12.59 | $16.60 | $22.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $13.80 | Professional | None | $10.96 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $45.71 Typical High $114.82 | Facility | None | $8.13 | $45.71 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $19.50 | Professional | None | $15.49 | $16.22 | $19.50 |
Health Partners Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $107.15 | Facility | None | $28.84 | $45.71 | $107.15 |
Health Partners Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $79.43 | Facility | None | $8.71 | $14.13 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $6.31 Typical High $24.55 | Professional | None | $5.37 | $6.31 | $24.55 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $11.48 | Professional | None | $4.47 | $6.31 | $11.48 |
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 $5.01 Median $5.01 Typical High $5.01 | Facility | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Facility | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | 55 · Aftercare only | $1.48 | $1.48 | $1.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $4.79 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.48 Typical High $1.48 | Professional | 55 · Aftercare only | $1.45 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.98 | $1.00 | $1.00 |
Where Minnesota sits
The same service costs 2.2 times more in Hawaii than in Maine. 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
$12.30
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.