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 $1.02 Median $1.02 Typical High $1.02 | Facility | None | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.12 | Professional | None | $1.02 | $1.02 | $1.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.07 Median $2.04 Typical High $2.19 | Facility | None | $1.07 | $2.04 | $2.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.76 Median $0.95 Typical High $1.00 | Professional | None | $0.76 | $0.95 | $1.00 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.45 Typical High $3.24 | Facility | None | $1.20 | $1.45 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $1.07 Median $1.17 Typical High $1.32 | Professional | None | $1.07 | $1.17 | $1.32 |
Health Partners Setting Facility Modifier None Typical Low $1.12 Median $1.29 Typical High $3.89 | Facility | None | $1.12 | $1.29 | $3.89 |
Health Partners Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
Medica Setting Facility Modifier None Typical Low $0.76 Median $1.51 Typical High $5.89 | Facility | None | $0.76 | $1.51 | $5.89 |
Medica Setting Professional Modifier None Typical Low $1.23 Median $1.38 Typical High $3.89 | Professional | None | $1.23 | $1.38 | $3.89 |
United Setting Professional Modifier None Typical Low $0.89 Median $0.95 Typical High $3.47 | Professional | None | $0.89 | $0.95 | $3.47 |
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 $0.51 Median $0.51 Typical High $0.51 | Facility | 52 · Reduced service | $0.51 | $0.51 | $0.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | 53 · Discontinued | $0.20 | $0.20 | $0.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | 55 · Aftercare only | $0.15 | $0.15 | $0.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 56 · Pre-op care only | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.51 Typical High $0.52 | Professional | 52 · Reduced service | $0.51 | $0.51 | $0.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.11 |
Where Minnesota sits
The same service costs 1.5 times more in Alaska than in New Mexico. 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· 17th of 51
$1.05
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.