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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | None | $15.85 | $15.85 | $16.22 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $37.15 | Facility | None | $19.95 | $26.30 | $37.15 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | None | $17.38 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $72.44 Typical High $186.21 | Facility | None | $13.49 | $72.44 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $31.62 | Professional | None | $24.55 | $26.30 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $173.78 | Facility | None | $46.77 | $74.13 | $173.78 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $22.39 Typical High $102.33 | Facility | None | $9.55 | $22.39 | $102.33 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $109.65 | Professional | None | $8.51 | $10.47 | $109.65 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.47 Typical High $20.42 | Professional | None | $7.08 | $10.47 | $20.42 |
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 $2.40 Median $2.40 Typical High $2.40 | Facility | 55 · Aftercare only | $2.40 | $2.40 | $2.40 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | 56 · Pre-op care only | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $1.62 |
Where Minnesota sits
The same service costs 2.8 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
$19.95
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.