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 $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.79 | Professional | None | $4.68 | $4.68 | $4.79 |
BCBS Setting Facility Modifier None Typical Low $4.37 Median $6.61 Typical High $8.91 | Facility | None | $4.37 | $6.61 | $8.91 |
BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $4.47 | Professional | None | $3.63 | $4.07 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.30 Typical High $16.60 | Facility | None | $6.03 | $12.30 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $6.03 | Professional | None | $4.79 | $5.25 | $6.03 |
Health Partners Setting Facility Modifier None Typical Low $4.68 Median $11.48 Typical High $17.38 | Facility | None | $4.68 | $11.48 | $17.38 |
Health Partners Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Medica Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $8.51 | Facility | None | $4.57 | $4.57 | $8.51 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $8.32 | Professional | None | $4.57 | $4.57 | $8.32 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $8.32 | Professional | None | $4.47 | $4.47 | $8.32 |
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 $2.34 Median $2.34 Typical High $2.34 | Facility | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Facility | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $0.71 | Facility | 55 · Aftercare only | $0.71 | $0.71 | $0.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.47 | Facility | 56 · Pre-op care only | $0.47 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.40 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.95 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $0.48 |
Where Minnesota sits
The same service costs 1659.6 times more in Alabama 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· 40th of 51
$4.68
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.