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 $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $1.17 Median $1.38 Typical High $1.38 | Professional | None | $1.17 | $1.38 | $1.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.17 Median $1.78 Typical High $2.34 | Facility | None | $1.17 | $1.78 | $2.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.93 Median $1.05 Typical High $1.17 | Professional | None | $0.93 | $1.05 | $1.17 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
Medica Setting Facility Modifier None Typical Low $1.38 Median $1.86 Typical High $2.34 | Facility | None | $1.38 | $1.86 | $2.34 |
Medica Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $2.09 | Professional | None | $1.15 | $1.15 | $2.09 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $2.14 | Professional | None | $1.15 | $1.15 | $2.14 |
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 $0.69 Median $0.69 Typical High $0.69 | Facility | 52 · Reduced service | $0.69 | $0.69 | $0.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.59 Median $0.69 Typical High $0.69 | Professional | 52 · Reduced service | $0.59 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.23 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.18 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.12 | $0.14 | $0.14 |
Where Minnesota sits
The same service costs 1.7 times more in Alaska than in Hawaii. 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· 26th of 51
$1.17
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.