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 $40.74 Median $97.72 Typical High $194.98 | Facility | None | $40.74 | $97.72 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | None | $40.74 | $40.74 | $69.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.90 Median $77.62 Typical High $85.11 | Facility | None | $38.90 | $77.62 | $85.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $39.81 | Professional | None | $31.62 | $35.48 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $107.15 Typical High $144.54 | Facility | None | $52.48 | $107.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | None | $41.69 | $46.77 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $41.69 Median $100.00 Typical High $151.36 | Facility | None | $41.69 | $100.00 | $151.36 |
Health Partners Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $74.13 Typical High $151.36 | Facility | None | $38.90 | $74.13 | $151.36 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
United Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $69.18 | Professional | None | $52.48 | $54.95 | $69.18 |
5 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 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | 55 · Aftercare only | $6.03 | $6.03 | $6.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.07 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $15.85 | $17.78 | $19.95 |
Where Minnesota sits
The same service costs 2.0 times more in Minnesota than in Alabama. 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
$81.28
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.