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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $8.51 | Professional | None | $8.13 | $8.51 | $8.51 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $19.50 | Facility | None | $10.72 | $14.13 | $19.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | None | $9.33 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $38.90 Typical High $97.72 | Facility | None | $6.92 | $38.90 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $16.60 | Professional | None | $13.18 | $13.80 | $16.60 |
Health Partners Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $93.33 | Facility | None | $24.55 | $38.90 | $93.33 |
Health Partners Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $11.75 Typical High $79.43 | Facility | None | $4.90 | $11.75 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $56.23 | Professional | None | $4.57 | $5.37 | $56.23 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $9.77 | Professional | None | $3.80 | $5.37 | $9.77 |
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 $1.26 Median $1.26 Typical High $1.26 | Facility | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | 56 · Pre-op care only | $0.85 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.23 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.81 | $0.85 | $0.85 |
Where Minnesota sits
The same service costs 2.1 times more in Idaho than in Colorado. 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
$10.47
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.