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 $1.45 Median $1.45 Typical High $1.45 | Facility | None | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $1.45 Typical High $1.45 | Professional | None | $1.41 | $1.45 | $1.45 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.70 Median $2.29 Typical High $3.63 | Facility | None | $1.70 | $2.29 | $3.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.58 Median $1.95 Typical High $2.00 | Professional | None | $1.58 | $1.95 | $2.00 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $5.25 Typical High $10.00 | Facility | None | $3.39 | $5.25 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.40 Typical High $2.88 | Professional | None | $2.29 | $2.40 | $2.88 |
Health Partners Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $8.51 | Facility | None | $3.02 | $4.79 | $8.51 |
Health Partners Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $2.75 | Facility | None | $1.95 | $1.95 | $2.75 |
Medica Setting Professional Modifier None Typical Low $0.63 Median $0.83 Typical High $9.77 | Professional | None | $0.63 | $0.83 | $9.77 |
United Setting Professional Modifier None Typical Low $0.55 Median $0.81 Typical High $1.62 | Professional | None | $0.55 | $0.81 | $1.62 |
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 $0.72 Median $0.72 Typical High $0.72 | Facility | 52 · Reduced service | $0.72 | $0.72 | $0.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.22 Median $0.22 Typical High $0.22 | Facility | 55 · Aftercare only | $0.22 | $0.22 | $0.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.72 Typical High $0.72 | Professional | 52 · Reduced service | $0.71 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | 55 · Aftercare only | $0.21 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
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· 5th of 51
$2.00
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.