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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | None | $18.20 | $18.62 | $18.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $43.65 | Facility | None | $23.44 | $30.90 | $43.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | None | $20.42 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $85.11 Typical High $218.78 | Facility | None | $15.14 | $85.11 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $37.15 | Professional | None | $29.51 | $30.90 | $37.15 |
Health Partners Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $204.17 | Facility | None | $54.95 | $87.10 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $26.30 Typical High $112.20 | Facility | None | $10.72 | $26.30 | $112.20 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $144.54 | Professional | None | $9.55 | $11.75 | $144.54 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $22.91 | Professional | None | $8.32 | $11.75 | $22.91 |
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 $2.82 Median $2.82 Typical High $2.82 | Facility | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.69 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.82 | $1.86 | $1.86 |
Where Minnesota sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 8th of 51
$22.91
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.