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 $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | None | $2.69 | $2.69 | $2.75 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.51 Median $3.72 Typical High $5.25 | Facility | None | $2.51 | $3.72 | $5.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.09 Median $2.34 Typical High $2.57 | Professional | None | $2.09 | $2.34 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.08 Typical High $9.55 | Facility | None | $3.47 | $7.08 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $3.47 | Professional | None | $2.75 | $3.02 | $3.47 |
Health Partners Setting Facility Modifier None Typical Low $2.69 Median $6.61 Typical High $10.00 | Facility | None | $2.69 | $6.61 | $10.00 |
Health Partners Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Medica Setting Facility Modifier None Typical Low $2.63 Median $3.24 Typical High $4.90 | Facility | None | $2.63 | $3.24 | $4.90 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $4.68 | Professional | None | $2.63 | $2.63 | $4.68 |
United Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $4.79 | Professional | None | $2.57 | $2.57 | $4.79 |
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 $1.35 Median $1.35 Typical High $1.35 | Facility | 52 · Reduced service | $1.35 | $1.35 | $1.35 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.54 | Facility | 53 · Discontinued | $0.54 | $0.54 | $0.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.40 Median $0.40 Typical High $0.40 | Facility | 55 · Aftercare only | $0.40 | $0.40 | $0.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $0.27 | Facility | 56 · Pre-op care only | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.35 Typical High $1.38 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.55 | Professional | 53 · Discontinued | $0.54 | $0.54 | $0.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.40 Typical High $0.42 | Professional | 55 · Aftercare only | $0.40 | $0.40 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.27 | $0.27 | $0.28 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Rhode Island. 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· 35th of 51
$2.69
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.