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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | None | $6.46 | $7.94 | $7.94 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.00 Median $1.51 Typical High $2.04 | Facility | None | $1.00 | $1.51 | $2.04 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.81 Median $1.00 Typical High $1.00 | Professional | None | $0.81 | $1.00 | $1.00 |
Cigna Setting Facility Modifier None Typical Low $0.98 Median $2.00 Typical High $2.69 | Facility | None | $0.98 | $2.00 | $2.69 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.83 Typical High $0.95 | Professional | None | $0.76 | $0.83 | $0.95 |
Health Partners Setting Facility Modifier None Typical Low $0.76 Median $1.86 Typical High $2.82 | Facility | None | $0.76 | $1.86 | $2.82 |
Health Partners Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medica Setting Facility Modifier None Typical Low $0.68 Median $0.71 Typical High $13.18 | Facility | None | $0.68 | $0.71 | $13.18 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $6.61 Typical High $8.91 | Professional | None | $2.63 | $6.61 | $8.91 |
United Setting Professional Modifier None Typical Low $2.63 Median $6.61 Typical High $9.77 | Professional | None | $2.63 | $6.61 | $9.77 |
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 $3.98 Median $3.98 Typical High $3.98 | Facility | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | 55 · Aftercare only | $1.17 | $1.17 | $1.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | 56 · Pre-op care only | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.24 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.29 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $0.98 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.65 | $0.79 | $0.79 |
Where Minnesota sits
The same service costs 15.5 times more in Alaska than in Hawaii. 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· 49th of 51
$1.07
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.