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 $0.76 Median $0.76 Typical High $0.76 | Facility | None | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.79 | Professional | None | $0.76 | $0.76 | $0.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.65 Median $1.12 Typical High $2.14 | Facility | None | $0.65 | $1.12 | $2.14 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.55 Median $0.68 Typical High $0.85 | Professional | None | $0.55 | $0.68 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.48 Typical High $2.04 | Facility | None | $0.72 | $1.48 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.83 Typical High $1.00 | Professional | None | $0.79 | $0.83 | $1.00 |
Health Partners Setting Facility Modifier None Typical Low $0.56 Median $1.41 Typical High $2.09 | Facility | None | $0.56 | $1.41 | $2.09 |
Health Partners Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Medica Setting Facility Modifier None Typical Low $0.81 Median $2.14 Typical High $2.24 | Facility | None | $0.81 | $2.14 | $2.24 |
Medica Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $1.48 | Professional | None | $0.81 | $0.81 | $1.48 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.58 | Professional | None | $0.85 | $0.85 | $1.58 |
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 $0.38 Median $0.38 Typical High $0.38 | Facility | 52 · Reduced service | $0.38 | $0.38 | $0.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | 53 · Discontinued | $0.15 | $0.15 | $0.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.11 | Facility | 55 · Aftercare only | $0.11 | $0.11 | $0.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Facility | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.38 Typical High $0.40 | Professional | 52 · Reduced service | $0.38 | $0.38 | $0.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Where Minnesota sits
The same service costs 3.9 times more in Wyoming than in Delaware. 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· 42nd of 51
$0.81
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.