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 $34.67 Median $109.65 Typical High $512.86 | Facility | None | $34.67 | $109.65 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | None | $52.48 | $52.48 | $54.95 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $107.15 | Facility | None | $52.48 | $100.00 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $194.98 | Facility | None | $70.79 | $141.25 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $69.18 | Professional | None | $54.95 | $58.88 | $69.18 |
Health Partners Setting Facility Modifier None Typical Low $54.95 Median $134.90 Typical High $204.17 | Facility | None | $54.95 | $134.90 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $263.03 | Facility | None | $63.10 | $123.03 | $263.03 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | None | $52.48 | $52.48 | $95.50 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $100.00 | Professional | None | $52.48 | $52.48 | $100.00 |
9 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 $26.30 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 52 · Reduced service | $26.30 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.50 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $42.66 Median $47.86 Typical High $52.48 | Professional | KD · Drug infused by equipment | $42.66 | $47.86 | $52.48 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in Rhode Island. 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· 3rd of 51
$79.43
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.