How much rates vary
Facilitymedian $110 · 10th to 90th $93 to $457Professionalmedian $112 · 10th to 90th $41 to $162
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | None | $85.11 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.98 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.51 | $9.33 | $9.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $181.97 | Facility | None | $95.50 | $109.65 | $181.97 |
BCBS Minnesota Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | None | $89.13 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $1,148.15 | Facility | None | $269.15 | $407.38 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | None | $128.82 | $131.83 | $162.18 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $891.25 | Facility | None | $239.88 | $380.19 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $109.65 Typical High $158.49 | Facility | None | $102.33 | $109.65 | $158.49 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $645.65 | Professional | None | $32.36 | $43.65 | $645.65 |
United Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $158.49 | Facility | None | $112.20 | $131.83 | $158.49 |
United Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $57.54 | Professional | None | $32.36 | $40.74 | $57.54 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in Indiana. 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
$112
HI $126IN $47.86
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.