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 $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.32 | Professional | None | $1.29 | $1.29 | $1.32 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.20 Median $1.74 Typical High $2.45 | Facility | None | $1.20 | $1.74 | $2.45 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.02 Median $1.12 Typical High $1.26 | Professional | None | $1.02 | $1.12 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $2.40 Typical High $3.31 | Facility | None | $1.17 | $2.40 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.38 Typical High $1.66 | Professional | None | $1.32 | $1.38 | $1.66 |
Health Partners Setting Facility Modifier None Typical Low $0.91 Median $2.24 Typical High $3.39 | Facility | None | $0.91 | $2.24 | $3.39 |
Health Partners Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Medica Setting Facility Modifier None Typical Low $1.23 Median $8.13 Typical High $12.30 | Facility | None | $1.23 | $8.13 | $12.30 |
Medica Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $2.24 | Professional | None | $1.23 | $1.23 | $2.24 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $2.34 | Professional | None | $1.26 | $1.26 | $2.34 |
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 $0.65 Median $0.65 Typical High $0.65 | Facility | 52 · Reduced service | $0.65 | $0.65 | $0.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.26 | Facility | 53 · Discontinued | $0.26 | $0.26 | $0.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Facility | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.65 Typical High $0.68 | Professional | 52 · Reduced service | $0.65 | $0.65 | $0.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.27 | Professional | 53 · Discontinued | $0.26 | $0.26 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Where Minnesota sits
The same service costs 2.5 times more in Texas than in Nebraska. 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· 47th of 51
$1.29
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.