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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | None | $2.14 | $2.14 | $2.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.09 Median $3.16 Typical High $4.17 | Facility | None | $2.09 | $3.16 | $4.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.70 Median $1.95 Typical High $2.14 | Professional | None | $1.70 | $1.95 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $5.89 Typical High $7.94 | Facility | None | $2.88 | $5.89 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.40 Typical High $2.75 | Professional | None | $2.19 | $2.40 | $2.75 |
Health Partners Setting Facility Modifier None Typical Low $2.24 Median $5.50 Typical High $8.32 | Facility | None | $2.24 | $5.50 | $8.32 |
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 $2.14 Median $2.14 Typical High $4.27 | Facility | None | $2.14 | $2.14 | $4.27 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.89 | Professional | None | $2.14 | $2.14 | $3.89 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.98 | Professional | None | $2.14 | $2.14 | $3.98 |
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 $1.07 Median $1.07 Typical High $1.07 | Facility | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.32 | Facility | 55 · Aftercare only | $0.32 | $0.32 | $0.32 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.10 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.44 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.33 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.22 |
Where Minnesota sits
The same service costs 1.9 times more in Alaska than in Delaware. 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· 35th of 51
$2.14
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.