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 $1.58 Median $1.58 Typical High $12.59 | Facility | None | $1.58 | $1.58 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.62 | Professional | None | $1.58 | $1.58 | $1.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.78 Median $3.55 Typical High $3.63 | Facility | None | $1.78 | $3.55 | $3.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.23 Median $1.41 Typical High $1.70 | Professional | None | $1.23 | $1.41 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $4.90 Typical High $6.31 | Facility | None | $2.40 | $4.90 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.78 Typical High $2.04 | Professional | None | $1.62 | $1.78 | $2.04 |
Health Partners Setting Facility Modifier None Typical Low $1.86 Median $4.57 Typical High $6.92 | Facility | None | $1.86 | $4.57 | $6.92 |
Health Partners Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Medica Setting Facility Modifier None Typical Low $1.78 Median $6.31 Typical High $16.22 | Facility | None | $1.78 | $6.31 | $16.22 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $3.24 | Professional | None | $1.78 | $1.78 | $3.24 |
United Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.88 | Professional | None | $1.55 | $1.55 | $2.88 |
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 $0.79 Median $0.79 Typical High $0.79 | Facility | 52 · Reduced service | $0.79 | $0.79 | $0.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.32 | Facility | 53 · Discontinued | $0.32 | $0.32 | $0.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.24 Median $0.24 Typical High $0.24 | Facility | 55 · Aftercare only | $0.24 | $0.24 | $0.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.16 | Facility | 56 · Pre-op care only | $0.16 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | 52 · Reduced service | $0.79 | $0.79 | $0.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.33 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.24 Typical High $0.25 | Professional | 55 · Aftercare only | $0.24 | $0.24 | $0.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.16 |
Where Minnesota sits
The same service costs 3.3 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· 33rd 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.