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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | None | $5.50 | $5.62 | $5.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.08 Median $9.33 Typical High $13.18 | Facility | None | $7.08 | $9.33 | $13.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | None | $6.17 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $26.30 Typical High $67.61 | Facility | None | $5.37 | $26.30 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $11.48 | Professional | None | $8.91 | $9.55 | $11.48 |
Health Partners Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $63.10 | Facility | None | $16.98 | $26.92 | $63.10 |
Health Partners Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $7.94 Typical High $79.43 | Facility | None | $3.31 | $7.94 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $16.22 | Professional | None | $3.02 | $4.27 | $16.22 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $7.76 | Professional | None | $2.51 | $4.07 | $7.76 |
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 $0.85 Median $0.85 Typical High $0.85 | Facility | 55 · Aftercare only | $0.85 | $0.85 | $0.85 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.56 | Facility | 56 · Pre-op care only | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.85 Typical High $0.85 | Professional | 55 · Aftercare only | $0.83 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.56 |
Where Minnesota sits
The same service costs 4.2 times more in Hawaii 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· 11th of 51
$7.24
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.