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 $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.41 | Professional | None | $6.76 | $6.76 | $7.41 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.91 Median $18.20 Typical High $21.88 | Facility | None | $8.91 | $18.20 | $21.88 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $8.91 | Professional | None | $5.75 | $7.24 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $24.55 Typical High $33.88 | Facility | None | $12.02 | $24.55 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $8.71 | Professional | None | $6.92 | $7.59 | $8.71 |
Health Partners Setting Facility Modifier None Typical Low $9.55 Median $23.44 Typical High $34.67 | Facility | None | $9.55 | $23.44 | $34.67 |
Health Partners Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $37.15 Typical High $60.26 | Facility | None | $10.23 | $37.15 | $60.26 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $16.22 | Professional | None | $9.12 | $9.12 | $16.22 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $13.49 | Professional | None | $7.24 | $7.24 | $13.49 |
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 $3.39 Median $3.39 Typical High $3.39 | Facility | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 55 · Aftercare only | $1.00 | $1.00 | $1.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.68 | Facility | 56 · Pre-op care only | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.38 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.00 Typical High $1.05 | Professional | 55 · Aftercare only | $1.00 | $1.00 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.68 | $0.68 | $0.71 |
Where Minnesota sits
The same service costs 6.0 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· 38th of 51
$7.24
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.