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 $7.76 Median $42.66 Typical High $74.13 | Facility | None | $7.76 | $42.66 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.71 | Professional | None | $7.76 | $7.76 | $8.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.22 Median $12.88 Typical High $28.18 | Facility | None | $11.22 | $12.88 | $28.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $12.02 | Professional | None | $6.61 | $8.13 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $17.38 Typical High $23.99 | Facility | None | $8.51 | $17.38 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $10.00 | Professional | None | $7.94 | $8.51 | $10.00 |
Health Partners Setting Facility Modifier None Typical Low $6.61 Median $16.22 Typical High $24.55 | Facility | None | $6.61 | $16.22 | $24.55 |
Health Partners Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $30.20 Typical High $56.23 | Facility | None | $6.31 | $30.20 | $56.23 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $16.98 | Professional | None | $9.33 | $9.33 | $16.98 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $15.49 | Professional | None | $8.13 | $8.13 | $15.49 |
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 $3.89 Median $3.89 Typical High $3.89 | Facility | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.55 | Facility | 53 · Discontinued | $1.55 | $1.55 | $1.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | 55 · Aftercare only | $1.17 | $1.17 | $1.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $3.98 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.58 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.20 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.79 |
Where Minnesota sits
The same service costs 2.6 times more in Texas 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· 9th of 51
$10.00
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.