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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | None | $28.18 | $28.18 | $31.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $64.57 | Facility | None | $35.48 | $45.71 | $64.57 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | None | $30.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $128.82 Typical High $331.13 | Facility | None | $26.92 | $128.82 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $56.23 | Professional | None | $43.65 | $46.77 | $56.23 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $309.03 | Facility | None | $83.18 | $131.83 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $39.81 Typical High $194.98 | Facility | None | $19.05 | $39.81 | $194.98 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $218.78 | Professional | None | $15.14 | $20.89 | $218.78 |
United Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $38.90 | Professional | None | $12.59 | $20.89 | $38.90 |
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 $4.17 Median $4.17 Typical High $4.17 | Facility | 55 · Aftercare only | $4.17 | $4.17 | $4.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $4.17 Typical High $4.79 | Professional | 55 · Aftercare only | $4.17 | $4.17 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $3.16 |
Where Minnesota sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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· 13th of 51
$37.15
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.