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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | None | $28.18 | $28.84 | $28.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $67.61 | Facility | None | $36.31 | $47.86 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | None | $32.36 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $134.90 Typical High $338.84 | Facility | None | $26.30 | $134.90 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $57.54 | Professional | None | $45.71 | $48.98 | $57.54 |
Health Partners Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $323.59 | Facility | None | $85.11 | $138.04 | $323.59 |
Health Partners Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $40.74 Typical High $186.21 | Facility | None | $16.98 | $40.74 | $186.21 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $194.98 | Professional | None | $15.85 | $18.62 | $194.98 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $33.88 | Professional | None | $13.18 | $18.62 | $33.88 |
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 $4.37 Median $4.37 Typical High $4.37 | Facility | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.27 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.82 | $2.88 | $2.88 |
Where Minnesota sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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
$36.31
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.