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 $5.13 Median $5.25 Typical High $5.25 | Professional | None | $5.13 | $5.25 | $5.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.62 Median $6.31 Typical High $9.55 | Facility | None | $5.62 | $6.31 | $9.55 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.13 Median $6.46 Typical High $6.46 | Professional | None | $5.13 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $20.89 Typical High $53.70 | Facility | None | $3.55 | $20.89 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $9.12 | Professional | None | $7.08 | $7.59 | $9.12 |
Health Partners Setting Facility Modifier None Typical Low $13.49 Median $21.38 Typical High $50.12 | Facility | None | $13.49 | $21.38 | $50.12 |
Health Partners Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Medica Setting Facility Modifier None Typical Low $2.69 Median $6.31 Typical High $79.43 | Facility | None | $2.69 | $6.31 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.27 Typical High $31.62 | Professional | None | $2.51 | $4.27 | $31.62 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.59 Typical High $9.12 | Facility | None | $6.46 | $7.59 | $9.12 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.31 Typical High $5.62 | Professional | None | $2.09 | $3.31 | $5.62 |
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 $2.57 Median $2.63 Typical High $2.63 | Professional | 52 · Reduced service | $2.57 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.02 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.78 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Where Minnesota sits
The same service costs 4.9 times more in Kansas than in Delaware. 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· 5th of 51
$6.31
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.