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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | None | $18.62 | $19.05 | $19.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $44.67 | Facility | None | $23.99 | $31.62 | $44.67 |
BCBS Minnesota Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | None | $20.89 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $87.10 Typical High $218.78 | Facility | None | $15.49 | $87.10 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $38.02 | Professional | None | $29.51 | $31.62 | $38.02 |
Health Partners Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $208.93 | Facility | None | $56.23 | $89.13 | $208.93 |
Health Partners Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $26.92 Typical High $117.49 | Facility | None | $10.72 | $26.92 | $117.49 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $165.96 | Professional | None | $10.00 | $12.02 | $165.96 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $21.88 | Professional | None | $8.51 | $12.02 | $21.88 |
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 $2.82 Median $2.82 Typical High $2.82 | Facility | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.75 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.86 | $1.91 | $1.91 |
Where Minnesota sits
The same service costs 3.5 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· 9th of 51
$23.44
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.