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 $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $2.14 | Professional | None | $1.91 | $1.91 | $2.14 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.02 Median $3.80 Typical High $4.37 | Facility | None | $1.02 | $3.80 | $4.37 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.89 Median $1.74 Typical High $2.14 | Professional | None | $0.89 | $1.74 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $5.89 Typical High $7.59 | Facility | None | $2.88 | $5.89 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.14 Typical High $2.45 | Professional | None | $1.95 | $2.14 | $2.45 |
Health Partners Setting Facility Modifier None Typical Low $2.24 Median $5.50 Typical High $8.32 | Facility | None | $2.24 | $5.50 | $8.32 |
Health Partners Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Medica Setting Facility Modifier None Typical Low $2.45 Median $9.33 Typical High $22.39 | Facility | None | $2.45 | $9.33 | $22.39 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $3.55 | Professional | None | $1.95 | $1.95 | $3.55 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $4.07 | Professional | None | $2.14 | $2.14 | $4.07 |
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 $0.95 Median $0.95 Typical High $0.95 | Facility | 52 · Reduced service | $0.95 | $0.95 | $0.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.38 Median $0.38 Typical High $0.38 | Facility | 53 · Discontinued | $0.38 | $0.38 | $0.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Facility | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $0.95 Typical High $1.00 | Professional | 52 · Reduced service | $0.95 | $0.95 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.38 Typical High $0.39 | Professional | 53 · Discontinued | $0.38 | $0.38 | $0.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.30 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.20 |
Where Minnesota sits
The same service costs 2.5 times more in Texas than in South Carolina. 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· 48th of 51
$1.95
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.