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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.37 | Professional | None | $3.89 | $3.89 | $4.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.90 Median $17.78 Typical High $19.05 | Facility | None | $4.90 | $17.78 | $19.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.27 Median $8.32 Typical High $10.47 | Professional | None | $4.27 | $8.32 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $25.70 Typical High $35.48 | Facility | None | $12.59 | $25.70 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $5.01 | Professional | None | $3.98 | $4.37 | $5.01 |
Health Partners Setting Facility Modifier None Typical Low $10.00 Median $24.55 Typical High $36.31 | Facility | None | $10.00 | $24.55 | $36.31 |
Health Partners Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Medica Setting Facility Modifier None Typical Low $2.63 Median $3.98 Typical High $29.51 | Facility | None | $2.63 | $3.98 | $29.51 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $7.24 | Professional | None | $3.98 | $3.98 | $7.24 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $19.50 | Professional | None | $10.47 | $10.47 | $19.50 |
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 $1.95 Median $1.95 Typical High $1.95 | Facility | 52 · Reduced service | $1.95 | $1.95 | $1.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | 53 · Discontinued | $0.78 | $0.78 | $0.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.59 Median $0.59 Typical High $0.59 | Facility | 55 · Aftercare only | $0.59 | $0.59 | $0.59 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $0.39 | Facility | 56 · Pre-op care only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.81 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.59 Typical High $0.60 | Professional | 55 · Aftercare only | $0.59 | $0.59 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.39 | $0.39 | $0.40 |
Where Minnesota sits
The same service costs 3.2 times more in Hawaii 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· 36th of 51
$5.01
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.