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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | None | $70.79 | $70.79 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $162.18 | Facility | None | $77.62 | $151.36 | $162.18 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $61.66 Median $74.13 Typical High $77.62 | Professional | KD · Drug infused by equipment | $61.66 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $95.50 Typical High $114.82 | Facility | None | $91.20 | $95.50 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $91.20 | Professional | None | $72.44 | $74.13 | $91.20 |
Health Partners Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $91.20 | Facility | None | $89.13 | $89.13 | $91.20 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $79.43 Typical High $128.82 | Facility | None | $74.13 | $79.43 | $128.82 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $138.04 | Professional | None | $75.86 | $81.28 | $138.04 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $123.03 | Professional | None | $74.13 | $77.62 | $123.03 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 55 · Aftercare only | $10.47 | $10.47 | $10.47 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $35.48 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $10.96 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.24 |
Where Minnesota sits
The same service costs 1.5 times more in Wyoming than in Florida. 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· 20th of 51
$74.13
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.