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 $2.19 Median $3.98 Typical High $21.38 | Facility | None | $2.19 | $3.98 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.51 | Professional | None | $2.19 | $2.19 | $2.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $5.01 | Facility | None | $2.45 | $3.98 | $5.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.74 Median $2.00 Typical High $2.40 | Professional | None | $1.74 | $2.00 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $5.50 Typical High $7.41 | Facility | None | $2.63 | $5.50 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.40 Typical High $2.82 | Professional | None | $2.24 | $2.40 | $2.82 |
Health Partners Setting Facility Modifier None Typical Low $2.04 Median $5.01 Typical High $7.59 | Facility | None | $2.04 | $5.01 | $7.59 |
Health Partners Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $16.98 Typical High $21.88 | Facility | None | $4.47 | $16.98 | $21.88 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $4.17 | Professional | None | $2.29 | $2.29 | $4.17 |
United Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $4.07 | Professional | None | $2.19 | $2.19 | $4.07 |
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 $1.10 Median $1.10 Typical High $1.10 | Facility | 52 · Reduced service | $1.10 | $1.10 | $1.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Facility | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Facility | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Facility | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.10 Typical High $1.12 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.45 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.34 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.23 |
Where Minnesota sits
The same service costs 2.7 times more in Wyoming than in Nevada. 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· 13th of 51
$2.63
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.