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 $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.91 | Professional | None | $1.86 | $1.86 | $1.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.82 Median $2.69 Typical High $3.72 | Facility | None | $1.82 | $2.69 | $3.72 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.48 Median $1.78 Typical High $1.86 | Professional | None | $1.48 | $1.78 | $1.86 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $5.01 Typical High $6.92 | Facility | None | $2.45 | $5.01 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.45 | Professional | None | $1.95 | $1.95 | $2.45 |
Health Partners Setting Facility Modifier None Typical Low $1.95 Median $4.79 Typical High $7.24 | Facility | None | $1.95 | $4.79 | $7.24 |
Health Partners Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Medica Setting Facility Modifier None Typical Low $1.82 Median $3.09 Typical High $3.72 | Facility | None | $1.82 | $3.09 | $3.72 |
Medica Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.51 | Professional | None | $1.82 | $1.82 | $2.51 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.75 | Professional | None | $1.86 | $1.86 | $2.75 |
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 $0.93 Median $0.93 Typical High $0.93 | Facility | 52 · Reduced service | $0.93 | $0.93 | $0.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.37 | Facility | 53 · Discontinued | $0.37 | $0.37 | $0.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Facility | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.93 Median $0.93 Typical High $0.95 | Professional | 52 · Reduced service | $0.93 | $0.93 | $0.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.38 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 7th of 51
$1.91
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.