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 $0.62 Median $0.62 Typical High $0.62 | Facility | None | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.66 | Professional | None | $0.62 | $0.62 | $0.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.60 Median $1.17 Typical High $1.41 | Facility | None | $0.60 | $1.17 | $1.41 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.51 Median $0.58 Typical High $0.65 | Professional | None | $0.51 | $0.58 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $0.78 Median $1.58 Typical High $2.19 | Facility | None | $0.78 | $1.58 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $0.65 Median $0.68 Typical High $0.81 | Professional | None | $0.65 | $0.68 | $0.81 |
Health Partners Setting Facility Modifier None Typical Low $0.62 Median $1.48 Typical High $2.24 | Facility | None | $0.62 | $1.48 | $2.24 |
Health Partners Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Medica Setting Facility Modifier None Typical Low $0.49 Median $1.58 Typical High $8.32 | Facility | None | $0.49 | $1.58 | $8.32 |
Medica Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.89 | Professional | None | $0.49 | $0.49 | $0.89 |
United Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $1.20 | Professional | None | $0.65 | $0.65 | $1.20 |
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 $0.31 Median $0.31 Typical High $0.31 | Facility | 52 · Reduced service | $0.31 | $0.31 | $0.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.12 | Facility | 53 · Discontinued | $0.12 | $0.12 | $0.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.31 Median $0.31 Typical High $0.32 | Professional | 52 · Reduced service | $0.31 | $0.31 | $0.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Where Minnesota sits
The same service costs 4.7 times more in Wyoming 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· 29th of 51
$0.65
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.