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 $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | None | $2.45 | $2.51 | $2.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.16 Median $4.17 Typical High $5.89 | Facility | None | $3.16 | $4.17 | $5.89 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $3.47 | Professional | None | $2.75 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $10.96 Typical High $28.18 | Facility | None | $2.04 | $10.96 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $4.79 | Professional | None | $3.72 | $3.98 | $4.79 |
Health Partners Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $26.30 | Facility | None | $7.08 | $11.22 | $26.30 |
Health Partners Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Medica Setting Facility Modifier None Typical Low $1.45 Median $3.55 Typical High $79.43 | Facility | None | $1.45 | $3.55 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.32 Median $1.58 Typical High $12.88 | Professional | None | $1.32 | $1.58 | $12.88 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.58 Typical High $2.95 | Professional | None | $1.12 | $1.58 | $2.95 |
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 $0.38 Median $0.38 Typical High $0.38 | Facility | 55 · Aftercare only | $0.38 | $0.38 | $0.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Facility | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.38 Typical High $0.38 | Professional | 55 · Aftercare only | $0.37 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.24 | $0.25 | $0.25 |
Where Minnesota sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 3rd of 51
$3.09
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.