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 $1.82 Median $1.82 Typical High $1.82 | Facility | None | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.82 Typical High $1.86 | Professional | None | $1.78 | $1.82 | $1.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.14 Median $2.88 Typical High $4.57 | Facility | None | $2.14 | $2.88 | $4.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.00 Median $2.45 Typical High $2.51 | Professional | None | $2.00 | $2.45 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $6.92 Typical High $13.49 | Facility | None | $4.47 | $6.92 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.09 Typical High $3.80 | Professional | None | $3.02 | $3.09 | $3.80 |
Health Partners Setting Facility Modifier None Typical Low $3.98 Median $6.46 Typical High $11.22 | Facility | None | $3.98 | $6.46 | $11.22 |
Health Partners Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medica Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $3.47 | Facility | None | $2.45 | $2.45 | $3.47 |
Medica Setting Professional Modifier None Typical Low $0.79 Median $1.05 Typical High $12.30 | Professional | None | $0.79 | $1.05 | $12.30 |
United Setting Professional Modifier None Typical Low $0.69 Median $1.02 Typical High $2.04 | Professional | None | $0.69 | $1.02 | $2.04 |
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 $0.91 Median $0.91 Typical High $0.91 | Facility | 52 · Reduced service | $0.91 | $0.91 | $0.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.36 | Facility | 53 · Discontinued | $0.36 | $0.36 | $0.36 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Facility | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Facility | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | 52 · Reduced service | $0.89 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | 53 · Discontinued | $0.36 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
Where Minnesota sits
The same service costs 4.6 times more in Rhode Island than in Colorado. 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· 5th of 51
$2.51
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.