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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.47 | Professional | None | $4.27 | $4.27 | $4.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.61 Median $11.48 Typical High $13.80 | Facility | None | $6.61 | $11.48 | $13.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.17 Median $5.25 Typical High $6.17 | Professional | None | $4.17 | $5.25 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $18.62 | Facility | None | $9.77 | $11.75 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.62 | Professional | None | $4.47 | $4.47 | $5.62 |
Health Partners Setting Facility Modifier None Typical Low $9.33 Median $10.72 Typical High $20.89 | Facility | None | $9.33 | $10.72 | $20.89 |
Health Partners Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $10.00 Typical High $10.23 | Facility | None | $1.95 | $10.00 | $10.23 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.19 Typical High $25.70 | Professional | None | $1.95 | $2.19 | $25.70 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $28.84 | Professional | None | $5.01 | $5.25 | $28.84 |
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 $2.14 Median $2.14 Typical High $2.14 | Facility | 52 · Reduced service | $2.14 | $2.14 | $2.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 53 · Discontinued | $0.85 | $0.85 | $0.85 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.65 Median $0.65 Typical High $0.65 | Facility | 55 · Aftercare only | $0.65 | $0.65 | $0.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.43 Typical High $0.43 | Facility | 56 · Pre-op care only | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.65 Typical High $0.66 | Professional | 55 · Aftercare only | $0.65 | $0.65 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.43 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.43 | $0.43 | $0.44 |
Where Minnesota sits
The same service costs 5.1 times more in Wyoming than in Alabama. 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· 30th of 51
$4.47
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.