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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | None | $17.38 | $17.78 | $17.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $41.69 | Facility | None | $22.39 | $29.51 | $41.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | None | $19.50 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $83.18 Typical High $208.93 | Facility | None | $15.85 | $83.18 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $35.48 | Professional | None | $27.54 | $29.51 | $35.48 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $83.18 Typical High $194.98 | Facility | None | $52.48 | $83.18 | $194.98 |
Health Partners Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $25.12 Typical High $112.20 | Facility | None | $10.23 | $25.12 | $112.20 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $120.23 | Professional | None | $9.55 | $11.22 | $120.23 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $20.89 | Professional | None | $7.94 | $11.22 | $20.89 |
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 $2.63 Median $2.63 Typical High $2.63 | Facility | 55 · Aftercare only | $2.63 | $2.63 | $2.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | 56 · Pre-op care only | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.57 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.74 | $1.78 | $1.78 |
Where Minnesota sits
The same service costs 2.3 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· 7th of 51
$21.88
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.