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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $2.14 | Professional | None | $2.04 | $2.14 | $2.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.69 Median $3.55 Typical High $5.01 | Facility | None | $2.69 | $3.55 | $5.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | None | $2.34 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $10.00 Typical High $25.12 | Facility | None | $1.74 | $10.00 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.55 Typical High $4.27 | Professional | None | $3.39 | $3.55 | $4.27 |
Health Partners Setting Facility Modifier None Typical Low $6.31 Median $10.00 Typical High $23.99 | Facility | None | $6.31 | $10.00 | $23.99 |
Health Partners Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Medica Setting Facility Modifier None Typical Low $1.23 Median $3.02 Typical High $79.43 | Facility | None | $1.23 | $3.02 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.15 Median $1.35 Typical High $14.45 | Professional | None | $1.15 | $1.35 | $14.45 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.35 Typical High $2.63 | Professional | None | $0.95 | $1.35 | $2.63 |
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 $1.07 Median $1.07 Typical High $1.07 | Facility | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.43 | Facility | 53 · Discontinued | $0.43 | $0.43 | $0.43 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.32 | Facility | 55 · Aftercare only | $0.32 | $0.32 | $0.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $1.05 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.41 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.31 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
Where Minnesota sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 12th of 51
$2.63
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.