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 $2.29 Median $6.03 Typical High $20.42 | Facility | None | $2.29 | $6.03 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.63 | Professional | None | $2.29 | $2.29 | $2.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.55 Median $2.69 Typical High $2.82 | Facility | None | $1.55 | $2.69 | $2.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.32 Median $1.48 Typical High $1.66 | Professional | None | $1.32 | $1.48 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $3.80 Typical High $5.13 | Facility | None | $1.86 | $3.80 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.45 Typical High $2.95 | Professional | None | $2.34 | $2.45 | $2.95 |
Health Partners Setting Facility Modifier None Typical Low $1.45 Median $3.55 Typical High $5.37 | Facility | None | $1.45 | $3.55 | $5.37 |
Health Partners Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Medica Setting Facility Modifier None Typical Low $1.32 Median $9.12 Typical High $19.95 | Facility | None | $1.32 | $9.12 | $19.95 |
Medica Setting Professional Modifier None Typical Low $1.32 Median $1.48 Typical High $2.45 | Professional | None | $1.32 | $1.48 | $2.45 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.86 Typical High $3.09 | Professional | None | $1.66 | $1.86 | $3.09 |
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 $1.15 Median $1.15 Typical High $1.15 | Facility | 52 · Reduced service | $1.15 | $1.15 | $1.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $0.46 | Facility | 53 · Discontinued | $0.46 | $0.46 | $0.46 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Facility | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.23 | Facility | 56 · Pre-op care only | $0.23 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.15 Typical High $1.20 | Professional | 52 · Reduced service | $1.15 | $1.15 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $0.47 | Professional | 53 · Discontinued | $0.46 | $0.46 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.36 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.24 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 13th of 51
$2.34
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.