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 $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.26 | Professional | None | $1.23 | $1.23 | $1.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.12 Median $2.19 Typical High $2.29 | Facility | None | $1.12 | $2.19 | $2.29 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.87 Median $0.98 Typical High $1.10 | Professional | None | $0.87 | $0.98 | $1.10 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $3.09 Typical High $4.17 | Facility | None | $1.45 | $3.09 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.32 Typical High $1.58 | Professional | None | $1.26 | $1.32 | $1.58 |
Health Partners Setting Facility Modifier None Typical Low $1.15 Median $2.82 Typical High $4.27 | Facility | None | $1.15 | $2.82 | $4.27 |
Health Partners Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $6.17 Typical High $11.22 | Facility | None | $1.74 | $6.17 | $11.22 |
Medica Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $2.00 | Professional | None | $1.12 | $1.12 | $2.00 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $2.04 | Professional | None | $1.10 | $1.10 | $2.04 |
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 $0.62 Median $0.62 Typical High $0.62 | Facility | 52 · Reduced service | $0.62 | $0.62 | $0.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.24 Median $0.24 Typical High $0.24 | Facility | 53 · Discontinued | $0.24 | $0.24 | $0.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Facility | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Facility | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.62 Typical High $0.63 | Professional | 52 · Reduced service | $0.62 | $0.62 | $0.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.24 Typical High $0.25 | Professional | 53 · Discontinued | $0.24 | $0.24 | $0.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.19 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.13 |
Where Minnesota sits
The same service costs 3.8 times more in Texas than in Maryland. 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· 46th of 51
$1.23
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.