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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $0.55 | Facility | 56 · Pre-op care only | $0.55 | $0.55 | $0.55 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | None | $5.01 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.55 Typical High $0.55 | Professional | 56 · Pre-op care only | $0.54 | $0.55 | $0.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.61 Median $8.71 Typical High $13.80 | Facility | None | $6.61 | $8.71 | $13.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $7.59 | Professional | None | $6.03 | $7.08 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $38.02 | Facility | None | $12.88 | $19.95 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $10.96 | Professional | None | $8.71 | $9.12 | $10.96 |
Health Partners Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $32.36 | Facility | None | $11.48 | $18.62 | $32.36 |
Health Partners Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $10.72 | Facility | None | $7.41 | $7.41 | $10.72 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.16 Typical High $37.15 | Professional | None | $2.29 | $3.16 | $37.15 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.09 Typical High $6.17 | Professional | None | $2.09 | $3.09 | $6.17 |
2 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 $0.83 Median $0.83 Typical High $0.83 | Facility | 55 · Aftercare only | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.81 Median $0.83 Typical High $0.83 | Professional | 55 · Aftercare only | $0.81 | $0.83 | $0.83 |
Where Minnesota sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 2nd of 51
$7.59
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.