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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | None | $5.50 | $5.50 | $5.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.01 Median $7.76 Typical High $10.72 | Facility | None | $5.01 | $7.76 | $10.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.27 Median $4.79 Typical High $5.37 | Professional | None | $4.27 | $4.79 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.45 Typical High $19.50 | Facility | None | $6.92 | $14.45 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $7.08 | Professional | None | $5.62 | $6.17 | $7.08 |
Health Partners Setting Facility Modifier None Typical Low $5.50 Median $13.49 Typical High $20.42 | Facility | None | $5.50 | $13.49 | $20.42 |
Health Partners Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medica Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $10.47 | Facility | None | $5.37 | $5.37 | $10.47 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $9.77 | Professional | None | $5.37 | $5.37 | $9.77 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $10.00 | Professional | None | $5.37 | $5.37 | $10.00 |
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 $2.75 Median $2.75 Typical High $2.75 | Facility | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | 53 · Discontinued | $1.10 | $1.10 | $1.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $0.83 | Facility | 55 · Aftercare only | $0.83 | $0.83 | $0.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $0.55 | Facility | 56 · Pre-op care only | $0.55 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.12 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $0.85 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.55 | $0.55 | $0.56 |
Where Minnesota sits
The same service costs 1.7 times more in Alaska than in Nebraska. 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· 40th of 51
$5.50
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.