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 $138.04 Median $181.97 Typical High $181.97 | Facility | None | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | None | $181.97 | $181.97 | $269.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $371.54 | Facility | None | $169.82 | $338.84 | $371.54 |
BCBS Minnesota Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $181.97 | Professional | None | $144.54 | $162.18 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $398.11 Typical High $537.03 | Facility | None | $194.98 | $398.11 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None | $151.36 | $169.82 | $190.55 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $371.54 Typical High $562.34 | Facility | None | $151.36 | $371.54 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $478.63 | Facility | None | $117.49 | $199.53 | $478.63 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None | $181.97 | $181.97 | $218.78 |
United Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | None | $181.97 | $190.55 | $239.88 |
4 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 $26.92 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Where Minnesota sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 44th of 51
$182
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.