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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $48.98 Median $75.86 Typical High $87.10 | Facility | None | $48.98 | $75.86 | $87.10 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $35.48 Median $39.81 Typical High $48.98 | Professional | KD · Drug infused by equipment | $35.48 | $39.81 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $117.49 Typical High $158.49 | Facility | None | $57.54 | $117.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $53.70 | Professional | None | $42.66 | $46.77 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $44.67 Median $109.65 Typical High $165.96 | Facility | None | $44.67 | $109.65 | $165.96 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $15.49 Typical High $57.54 | Facility | None | $12.02 | $15.49 | $57.54 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $61.66 | Professional | None | $33.88 | $33.88 | $61.66 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | None | $44.67 | $44.67 | $83.18 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 52 · Reduced service | $20.89 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.37 |
Where Minnesota sits
The same service costs 1.8 times more in Arizona than in Georgia. 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· 19th of 51
$44.67
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.