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 $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | None | $4.27 | $4.37 | $4.37 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.50 Median $7.24 Typical High $10.00 | Facility | None | $5.50 | $7.24 | $10.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | None | $4.79 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $19.95 Typical High $50.12 | Facility | None | $3.80 | $19.95 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $8.51 | Professional | None | $6.76 | $7.08 | $8.51 |
Health Partners Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $47.86 | Facility | None | $12.59 | $19.95 | $47.86 |
Health Partners Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Medica Setting Facility Modifier None Typical Low $1.66 Median $5.89 Typical High $79.43 | Facility | None | $1.66 | $5.89 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $2.75 Typical High $29.51 | Professional | None | $2.34 | $2.75 | $29.51 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $5.01 | Professional | None | $1.95 | $2.75 | $5.01 |
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 $0.65 Median $0.65 Typical High $0.65 | Facility | 55 · Aftercare only | $0.65 | $0.65 | $0.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.43 Typical High $0.43 | Facility | 56 · Pre-op care only | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $0.65 Typical High $0.65 | Professional | 55 · Aftercare only | $0.63 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.43 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.42 | $0.43 | $0.43 |
Where Minnesota sits
The same service costs 3.2 times more in Kansas 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· 9th of 51
$5.37
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.