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 $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.55 | Professional | None | $1.51 | $1.51 | $1.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.51 Median $2.29 Typical High $3.02 | Facility | None | $1.51 | $2.29 | $3.02 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.20 Median $1.35 Typical High $1.51 | Professional | None | $1.20 | $1.35 | $1.51 |
Cigna Setting Facility Modifier None Typical Low $2.00 Median $4.07 Typical High $5.50 | Facility | None | $2.00 | $4.07 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $1.55 Median $1.70 Typical High $1.95 | Professional | None | $1.55 | $1.70 | $1.95 |
Health Partners Setting Facility Modifier None Typical Low $1.58 Median $3.80 Typical High $5.75 | Facility | None | $1.58 | $3.80 | $5.75 |
Health Partners Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
Medica Setting Facility Modifier None Typical Low $1.51 Median $1.58 Typical High $2.51 | Facility | None | $1.51 | $1.58 | $2.51 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $2.75 | Professional | None | $1.51 | $1.51 | $2.75 |
United Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $2.82 | Professional | None | $1.51 | $1.51 | $2.82 |
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 $0.76 Median $0.76 Typical High $0.76 | Facility | 52 · Reduced service | $0.76 | $0.76 | $0.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.30 Median $0.30 Typical High $0.30 | Facility | 53 · Discontinued | $0.30 | $0.30 | $0.30 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.23 | Facility | 55 · Aftercare only | $0.23 | $0.23 | $0.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.76 Typical High $0.78 | Professional | 52 · Reduced service | $0.76 | $0.76 | $0.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.30 Typical High $0.31 | Professional | 53 · Discontinued | $0.30 | $0.30 | $0.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.16 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in North Carolina. 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· 28th of 51
$1.51
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.