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 $8.51 Median $23.99 Typical High $64.57 | Facility | None | $8.51 | $23.99 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.51 Typical High $13.18 | Professional | None | $8.32 | $8.51 | $13.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.33 Median $10.00 Typical High $54.95 | Facility | None | $9.33 | $10.00 | $54.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | None | $7.94 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $38.02 Typical High $95.50 | Facility | None | $20.89 | $38.02 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $16.22 | Professional | None | $12.88 | $14.13 | $16.22 |
Health Partners Setting Facility Modifier None Typical Low $23.99 Median $38.02 Typical High $89.13 | Facility | None | $23.99 | $38.02 | $89.13 |
Health Partners Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Medica Setting Facility Modifier None Typical Low $6.31 Median $22.91 Typical High $89.13 | Facility | None | $6.31 | $22.91 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $9.33 Typical High $34.67 | Professional | None | $6.76 | $9.33 | $34.67 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $16.60 | Professional | None | $5.37 | $8.71 | $16.60 |
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 $4.27 Median $4.27 Typical High $4.27 | Facility | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | 53 · Discontinued | $1.74 | $1.74 | $1.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | 55 · Aftercare only | $1.29 | $1.29 | $1.29 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 56 · Pre-op care only | $0.85 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.17 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.66 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $1.26 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.83 | $0.85 | $0.85 |
Where Minnesota sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 44th of 51
$10.00
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.