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 $0.10 Median $0.10 Typical High $0.10 | Facility | None | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | None | $0.08 | $0.10 | $0.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.47 Median $0.95 Typical High $1.05 | Facility | None | $0.47 | $0.95 | $1.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.42 Median $0.48 Typical High $0.52 | Professional | None | $0.42 | $0.48 | $0.52 |
Cigna Setting Facility Modifier None Typical Low $0.78 Median $1.20 Typical High $3.39 | Facility | None | $0.78 | $1.20 | $3.39 |
Cigna Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.48 | Professional | None | $0.38 | $0.38 | $0.48 |
Health Partners Setting Facility Modifier None Typical Low $0.71 Median $1.12 Typical High $2.63 | Facility | None | $0.71 | $1.12 | $2.63 |
Health Partners Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Medica Setting Facility Modifier None Typical Low $0.03 Median $0.14 Typical High $0.83 | Facility | None | $0.03 | $0.14 | $0.83 |
Medica Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $64.57 | Professional | None | $0.08 | $0.08 | $64.57 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.12 | Professional | None | $0.08 | $0.08 | $0.12 |
6 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 $0.05 Median $0.05 Typical High $0.05 | Facility | 52 · Reduced service | $0.05 | $0.05 | $0.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 52 · Reduced service | $0.04 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Where Minnesota sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 2nd of 51
$0.38
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.