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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | None | $8.71 | $10.96 | $10.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.47 Median $15.49 Typical High $20.89 | Facility | None | $10.47 | $15.49 | $20.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $10.47 | Professional | None | $8.32 | $9.77 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $33.11 Typical High $44.67 | Facility | None | $15.85 | $33.11 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $15.85 | Professional | None | $12.30 | $12.59 | $15.85 |
Health Partners Setting Facility Modifier None Typical Low $12.59 Median $30.90 Typical High $46.77 | Facility | None | $12.59 | $30.90 | $46.77 |
Health Partners Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Medica Setting Facility Modifier None Typical Low $2.69 Median $9.77 Typical High $14.79 | Facility | None | $2.69 | $9.77 | $14.79 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $16.60 | Professional | None | $9.12 | $9.12 | $16.60 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $13.49 | Professional | None | $9.12 | $9.12 | $13.49 |
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 $5.50 Median $5.50 Typical High $5.50 | Facility | 52 · Reduced service | $5.50 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | 53 · Discontinued | $2.19 | $2.19 | $2.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Facility | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | 56 · Pre-op care only | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $4.37 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $1.78 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.32 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.10 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.87 | $1.10 | $1.10 |
Where Minnesota sits
The same service costs 1.8 times more in Alaska than in Montana. 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· 3rd of 51
$10.96
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.