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 $0.14 Median $0.23 Typical High $6.61 | Facility | None | $0.14 | $0.23 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | None | $0.14 | $0.14 | $0.16 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.13 Median $0.26 Typical High $0.28 | Facility | None | $0.13 | $0.26 | $0.28 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.11 Median $0.14 Typical High $0.17 | Professional | None | $0.11 | $0.14 | $0.17 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.41 Typical High $0.55 | Facility | None | $0.19 | $0.41 | $0.55 |
Cigna Setting Professional Modifier None Typical Low $0.15 Median $0.17 Typical High $0.19 | Professional | None | $0.15 | $0.17 | $0.19 |
Health Partners Setting Facility Modifier None Typical Low $0.15 Median $0.37 Typical High $0.56 | Facility | None | $0.15 | $0.37 | $0.56 |
Health Partners Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Medica Setting Facility Modifier None Typical Low $1.12 Median $6.46 Typical High $9.33 | Facility | None | $1.12 | $6.46 | $9.33 |
Medica Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.28 | Professional | None | $0.16 | $0.16 | $0.28 |
United Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.32 | Professional | None | $0.17 | $0.17 | $0.32 |
6 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 $0.07 Median $0.07 Typical High $0.07 | Facility | 52 · Reduced service | $0.07 | $0.07 | $0.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Facility | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | 52 · Reduced service | $0.07 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Where Minnesota sits
The same service costs 4.4 times more in Michigan 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· 28th of 51
$0.17
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.