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 $12.30 Median $26.30 Typical High $26.30 | Facility | None | $12.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | None | $25.70 | $26.30 | $26.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $61.66 | Facility | None | $33.11 | $43.65 | $61.66 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | None | $28.84 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $120.23 Typical High $302.00 | Facility | None | $21.38 | $120.23 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $52.48 | Professional | None | $40.74 | $43.65 | $52.48 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $288.40 | Facility | None | $77.62 | $123.03 | $288.40 |
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 $13.80 Median $36.31 Typical High $158.49 | Facility | None | $13.80 | $36.31 | $158.49 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $177.83 | Professional | None | $14.13 | $16.60 | $177.83 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $32.36 | Professional | None | $11.75 | $16.60 | $32.36 |
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 $3.89 Median $3.89 Typical High $3.89 | Facility | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | 56 · Pre-op care only | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.80 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.51 | $2.63 | $2.63 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 9th of 51
$32.36
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.