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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | None | $15.14 | $15.49 | $15.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $36.31 | Facility | None | $19.50 | $25.70 | $36.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $21.38 | Professional | None | $16.98 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $72.44 Typical High $181.97 | Facility | None | $13.80 | $72.44 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $30.90 | Professional | None | $24.55 | $25.70 | $30.90 |
Health Partners Setting Facility Modifier None Typical Low $45.71 Median $72.44 Typical High $169.82 | Facility | None | $45.71 | $72.44 | $169.82 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $21.88 Typical High $97.72 | Facility | None | $8.91 | $21.88 | $97.72 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $104.71 | Professional | None | $8.32 | $9.77 | $104.71 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $18.20 | Professional | None | $6.92 | $9.77 | $18.20 |
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 $2.34 Median $2.34 Typical High $2.34 | Facility | 55 · Aftercare only | $2.34 | $2.34 | $2.34 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.55 Typical High $1.55 | Facility | 56 · Pre-op care only | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $2.29 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.55 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.51 | $1.55 | $1.55 |
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· 8th of 51
$19.05
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.