How much rates vary
Facilitymedian $224 · 10th to 90th $186 to $933Professionalmedian $229 · 10th to 90th $76 to $331
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $22.39 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.14 | $18.62 | $18.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $363.08 | Facility | None | $190.55 | $223.87 | $363.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | None | $181.97 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $812.83 Typical High $2,290.87 | Facility | None | $537.03 | $812.83 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $269.15 Typical High $331.13 | Professional | None | $263.03 | $269.15 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,819.70 | Facility | None | $489.78 | $776.25 | $1,819.70 |
Health Partners Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $323.59 | Facility | None | $204.17 | $223.87 | $323.59 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $1,096.48 | Professional | None | $60.26 | $89.13 | $1,096.48 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $295.12 | Facility | None | $208.93 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | None | $60.26 | $75.86 | $112.20 |
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 Minnesota than in Utah. 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· 1st of 51
$229
MN $229UT $89.13
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.