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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $4.27 | Professional | None | $3.63 | $4.27 | $4.27 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.39 Median $5.13 Typical High $7.24 | Facility | None | $3.39 | $5.13 | $7.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.88 Median $3.24 Typical High $3.63 | Professional | None | $2.88 | $3.24 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.92 Typical High $9.33 | Facility | None | $3.39 | $6.92 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.02 Typical High $3.31 | Professional | None | $2.63 | $3.02 | $3.31 |
Health Partners Setting Facility Modifier None Typical Low $2.69 Median $6.61 Typical High $9.77 | Facility | None | $2.69 | $6.61 | $9.77 |
Health Partners Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $5.50 Typical High $6.76 | Facility | None | $4.07 | $5.50 | $6.76 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $6.03 | Professional | None | $3.39 | $3.39 | $6.03 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $6.61 | Professional | None | $3.55 | $3.55 | $6.61 |
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 $2.14 Median $2.14 Typical High $2.14 | Facility | 52 · Reduced service | $2.14 | $2.14 | $2.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 53 · Discontinued | $0.85 | $0.85 | $0.85 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.63 Median $0.63 Typical High $0.63 | Facility | 55 · Aftercare only | $0.63 | $0.63 | $0.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | 56 · Pre-op care only | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $1.82 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.72 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.63 Typical High $0.63 | Professional | 55 · Aftercare only | $0.54 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.42 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.36 | $0.42 | $0.42 |
Where Minnesota sits
The same service costs 2.0 times more in Alaska 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· 47th of 51
$3.55
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.