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 $1.20 Median $6.03 Typical High $9.77 | Facility | None | $1.20 | $6.03 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.58 | Professional | None | $1.38 | $1.38 | $1.58 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.83 Median $1.70 Typical High $2.40 | Facility | None | $0.83 | $1.70 | $2.40 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $0.72 Median $0.93 Typical High $1.15 | Professional | KD · Drug infused by equipment | $0.72 | $0.93 | $1.15 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $3.31 Typical High $4.37 | Facility | None | $1.55 | $3.31 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $1.51 Typical High $1.82 | Professional | None | $1.45 | $1.51 | $1.82 |
Health Partners Setting Facility Modifier None Typical Low $1.23 Median $3.02 Typical High $4.47 | Facility | None | $1.23 | $3.02 | $4.47 |
Health Partners Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Medica Setting Facility Modifier None Typical Low $0.95 Median $8.32 Typical High $12.30 | Facility | None | $0.95 | $8.32 | $12.30 |
Medica Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $1.74 | Professional | None | $0.95 | $0.95 | $1.74 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $2.14 | Professional | None | $1.15 | $1.15 | $2.14 |
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 $0.71 Median $0.71 Typical High $0.71 | Facility | 52 · Reduced service | $0.71 | $0.71 | $0.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 52 · Reduced service | $0.71 | $0.71 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Where Minnesota sits
The same service costs 5.9 times more in Vermont 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· 8th of 51
$1.70
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.