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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | None | $45.71 | $46.77 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $109.65 | Facility | None | $58.88 | $77.62 | $109.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | None | $52.48 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $213.80 Typical High $549.54 | Facility | None | $38.02 | $213.80 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $93.33 | Professional | None | $74.13 | $77.62 | $93.33 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $524.81 | Facility | None | $138.04 | $218.78 | $524.81 |
Health Partners Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $66.07 Typical High $281.84 | Facility | None | $27.54 | $66.07 | $281.84 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $323.59 | Professional | None | $25.12 | $30.20 | $323.59 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $58.88 | Professional | None | $21.38 | $30.20 | $58.88 |
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 $7.08 Median $7.08 Typical High $7.08 | Facility | 55 · Aftercare only | $7.08 | $7.08 | $7.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | 56 · Pre-op care only | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $6.92 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $4.68 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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· 7th of 51
$58.88
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.