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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | None | $7.41 | $7.59 | $7.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $17.78 | Facility | None | $9.55 | $12.59 | $17.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $10.47 | Professional | None | $8.32 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $35.48 Typical High $89.13 | Facility | None | $6.17 | $35.48 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $15.14 | Professional | None | $12.02 | $12.59 | $15.14 |
Health Partners Setting Facility Modifier None Typical Low $22.39 Median $35.48 Typical High $85.11 | Facility | None | $22.39 | $35.48 | $85.11 |
Health Partners Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Medica Setting Facility Modifier None Typical Low $4.17 Median $10.72 Typical High $79.43 | Facility | None | $4.17 | $10.72 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $18.62 | Professional | None | $4.07 | $4.79 | $18.62 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $8.91 | Professional | None | $3.39 | $4.79 | $8.91 |
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 $1.12 Median $1.12 Typical High $1.12 | Facility | 55 · Aftercare only | $1.12 | $1.12 | $1.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | 56 · Pre-op care only | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.74 | $0.76 | $0.76 |
Where Minnesota sits
The same service costs 2.1 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
$9.33
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.