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 $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | None | $0.79 | $0.79 | $0.81 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.76 Median $1.12 Typical High $1.51 | Facility | None | $0.76 | $1.12 | $1.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.63 Median $0.71 Typical High $0.79 | Professional | None | $0.63 | $0.71 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $1.02 Median $2.09 Typical High $2.82 | Facility | None | $1.02 | $2.09 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.83 Typical High $1.05 | Professional | None | $0.79 | $0.83 | $1.05 |
Health Partners Setting Facility Modifier None Typical Low $0.79 Median $1.95 Typical High $2.95 | Facility | None | $0.79 | $1.95 | $2.95 |
Health Partners Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | None | $0.83 | $0.83 | $0.83 |
Medica Setting Facility Modifier None Typical Low $0.76 Median $1.23 Typical High $1.41 | Facility | None | $0.76 | $1.23 | $1.41 |
Medica Setting Professional Modifier None Typical Low $0.76 Median $0.85 Typical High $4.68 | Professional | None | $0.76 | $0.85 | $4.68 |
United Setting Professional Modifier None Typical Low $0.79 Median $0.83 Typical High $1.45 | Professional | None | $0.79 | $0.83 | $1.45 |
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 $0.40 Median $0.40 Typical High $0.40 | Facility | 52 · Reduced service | $0.40 | $0.40 | $0.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Facility | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Facility | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Facility | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.40 Median $0.40 Typical High $0.41 | Professional | 52 · Reduced service | $0.40 | $0.40 | $0.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Where Minnesota sits
Rates are fairly even across states for this service. 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· 23rd of 51
$0.79
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.