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 $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.39 | Professional | None | $2.95 | $2.95 | $3.39 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.57 Median $5.37 Typical High $7.08 | Facility | None | $2.57 | $5.37 | $7.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.24 Median $2.69 Typical High $2.82 | Professional | None | $2.24 | $2.69 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.92 Typical High $9.55 | Facility | None | $3.39 | $6.92 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.80 | Professional | None | $3.02 | $3.02 | $3.80 |
Health Partners Setting Facility Modifier None Typical Low $2.69 Median $6.61 Typical High $9.77 | Facility | None | $2.69 | $6.61 | $9.77 |
Health Partners Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $3.31 Typical High $21.38 | Facility | None | $2.24 | $3.31 | $21.38 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $2.51 Typical High $4.07 | Professional | None | $2.24 | $2.51 | $4.07 |
United Setting Professional Modifier None Typical Low $2.69 Median $2.82 Typical High $4.37 | Professional | None | $2.69 | $2.82 | $4.37 |
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 $1.48 Median $1.48 Typical High $1.48 | Facility | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Facility | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.44 | Facility | 55 · Aftercare only | $0.44 | $0.44 | $0.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.62 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.45 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.30 |
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· 11th of 51
$3.02
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.