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 $0.68 Median $0.68 Typical High $0.68 | Facility | None | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $0.55 Median $0.68 Typical High $0.68 | Professional | None | $0.55 | $0.68 | $0.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $9.77 | Professional | None | $8.51 | $9.33 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $0.49 Median $1.00 Typical High $1.35 | Facility | None | $0.49 | $1.00 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $0.40 Typical High $0.48 | Professional | None | $0.38 | $0.40 | $0.48 |
Health Partners Setting Facility Modifier None Typical Low $0.38 Median $0.93 Typical High $1.41 | Facility | None | $0.38 | $0.93 | $1.41 |
Health Partners Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Medica Setting Facility Modifier None Typical Low $0.52 Median $0.55 Typical High $1.15 | Facility | None | $0.52 | $0.55 | $1.15 |
Medica Setting Professional Modifier None Typical Low $0.05 Median $0.12 Typical High $0.22 | Professional | None | $0.05 | $0.12 | $0.22 |
United Setting Professional Modifier None Typical Low $0.05 Median $0.12 Typical High $0.22 | Professional | None | $0.05 | $0.12 | $0.22 |
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 $0.34 Median $0.34 Typical High $0.34 | Facility | 52 · Reduced service | $0.34 | $0.34 | $0.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | 53 · Discontinued | $0.14 | $0.14 | $0.14 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 55 · Aftercare only | $0.10 | $0.10 | $0.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | 56 · Pre-op care only | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.28 Median $0.34 Typical High $0.34 | Professional | 52 · Reduced service | $0.28 | $0.34 | $0.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.11 Median $0.14 Typical High $0.14 | Professional | 53 · Discontinued | $0.11 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | 55 · Aftercare only | $0.08 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.07 | $0.07 |
Where Minnesota sits
The same service costs 8.3 times more in Alaska than in Louisiana. 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· 8th of 51
$0.38
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.