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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | None | $5.25 | $5.25 | $5.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.08 Median $12.02 Typical High $14.13 | Facility | None | $7.08 | $12.02 | $14.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $6.46 | Professional | None | $4.17 | $5.13 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $18.20 | Facility | None | $8.51 | $10.23 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $6.76 | Professional | None | $5.37 | $5.50 | $6.76 |
Health Partners Setting Facility Modifier None Typical Low $8.13 Median $9.33 Typical High $21.88 | Facility | None | $8.13 | $9.33 | $21.88 |
Health Partners Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $25.12 | Facility | None | $6.92 | $12.30 | $25.12 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $7.41 Typical High $12.88 | Professional | None | $6.92 | $7.41 | $12.88 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.25 Typical High $8.13 | Professional | None | $4.90 | $5.25 | $8.13 |
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 $2.63 Median $2.63 Typical High $2.63 | Facility | 52 · Reduced service | $2.63 | $2.63 | $2.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Facility | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | 55 · Aftercare only | $0.79 | $0.79 | $0.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Facility | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 52 · Reduced service | $2.63 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.10 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | 55 · Aftercare only | $0.79 | $0.79 | $0.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.54 |
Where Minnesota sits
The same service costs 1.9 times more in Wyoming than in Colorado. 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· 16th of 51
$5.37
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.