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 $1.66 Median $15.49 Typical High $19.95 | Facility | None | $1.66 | $15.49 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | None | $1.66 | $1.66 | $1.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.82 Median $3.47 Typical High $3.63 | Facility | None | $1.82 | $3.47 | $3.63 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.51 Median $1.70 Typical High $1.86 | Professional | None | $1.51 | $1.70 | $1.86 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $4.68 Typical High $6.31 | Facility | None | $2.29 | $4.68 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $1.70 Median $1.86 Typical High $2.14 | Professional | None | $1.70 | $1.86 | $2.14 |
Health Partners Setting Facility Modifier None Typical Low $1.82 Median $4.37 Typical High $6.61 | Facility | None | $1.82 | $4.37 | $6.61 |
Health Partners Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Medica Setting Facility Modifier None Typical Low $2.04 Median $12.59 Typical High $19.50 | Facility | None | $2.04 | $12.59 | $19.50 |
Medica Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.72 | Professional | None | $2.04 | $2.04 | $3.72 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.47 | Professional | None | $1.86 | $1.86 | $3.47 |
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 $0.83 Median $0.83 Typical High $0.83 | Facility | 52 · Reduced service | $0.83 | $0.83 | $0.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.33 | Facility | 53 · Discontinued | $0.33 | $0.33 | $0.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.25 | Facility | 55 · Aftercare only | $0.25 | $0.25 | $0.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Facility | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.83 Median $0.83 Typical High $0.85 | Professional | 52 · Reduced service | $0.83 | $0.83 | $0.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.34 | Professional | 53 · Discontinued | $0.33 | $0.33 | $0.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.26 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Where Minnesota sits
The same service costs 3.2 times more in Texas than in Georgia. 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· 16th of 51
$1.95
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.