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 $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.45 | Professional | None | $1.41 | $1.41 | $1.45 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.35 Median $2.00 Typical High $2.82 | Facility | None | $1.35 | $2.00 | $2.82 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.10 Median $1.23 Typical High $1.38 | Professional | None | $1.10 | $1.23 | $1.38 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $3.63 Typical High $5.01 | Facility | None | $1.82 | $3.63 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $1.58 Typical High $1.82 | Professional | None | $1.45 | $1.58 | $1.82 |
Health Partners Setting Facility Modifier None Typical Low $1.41 Median $3.47 Typical High $5.25 | Facility | None | $1.41 | $3.47 | $5.25 |
Health Partners Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $1.10 Typical High $2.24 | Facility | None | $1.00 | $1.10 | $2.24 |
Medica Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $2.45 | Professional | None | $1.35 | $1.35 | $2.45 |
United Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
United Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $2.51 | Professional | None | $1.38 | $1.38 | $2.51 |
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 $0.71 Median $0.71 Typical High $0.71 | Facility | 52 · Reduced service | $0.71 | $0.71 | $0.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 52 · Reduced service | $0.71 | $0.71 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.22 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.15 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Rhode Island. 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· 29th of 51
$1.41
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.