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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | None | $26.30 | $27.54 | $27.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $63.10 | Facility | None | $34.67 | $44.67 | $63.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $38.02 | Professional | None | $30.20 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $125.89 Typical High $316.23 | Facility | None | $21.88 | $125.89 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | None | $42.66 | $45.71 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $302.00 | Facility | None | $81.28 | $128.82 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $38.02 Typical High $165.96 | Facility | None | $15.14 | $38.02 | $165.96 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $194.98 | Professional | None | $14.79 | $17.38 | $194.98 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $33.88 | Professional | None | $12.30 | $17.38 | $33.88 |
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 $4.07 Median $4.07 Typical High $4.07 | Facility | 55 · Aftercare only | $4.07 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | 56 · Pre-op care only | $2.75 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.63 | $2.75 | $2.75 |
Where Minnesota sits
The same service costs 2.9 times more in Hawaii 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· 8th of 51
$33.88
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.