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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | None | $5.89 | $6.17 | $6.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.24 Median $9.55 Typical High $15.14 | Facility | None | $7.24 | $9.55 | $15.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $8.32 | Professional | None | $6.76 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $41.69 | Facility | None | $14.13 | $21.88 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $12.02 | Professional | None | $9.55 | $10.00 | $12.02 |
Health Partners Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $35.48 | Facility | None | $12.59 | $19.95 | $35.48 |
Health Partners Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Medica Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $12.02 | Facility | None | $8.32 | $8.32 | $12.02 |
Medica Setting Professional Modifier None Typical Low $2.69 Median $3.47 Typical High $40.74 | Professional | None | $2.69 | $3.47 | $40.74 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.47 Typical High $6.92 | Professional | None | $2.34 | $3.47 | $6.92 |
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 $3.02 Median $3.02 Typical High $3.02 | Facility | 52 · Reduced service | $3.02 | $3.02 | $3.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | 53 · Discontinued | $1.23 | $1.23 | $1.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.91 Median $0.91 Typical High $0.91 | Facility | 55 · Aftercare only | $0.91 | $0.91 | $0.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.62 Typical High $0.62 | Facility | 56 · Pre-op care only | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | 55 · Aftercare only | $0.89 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.60 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.60 | $0.62 | $0.62 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$8.32
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.