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 $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | None | $1.70 | $1.74 | $1.74 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.19 Median $2.88 Typical High $4.07 | Facility | None | $2.19 | $2.88 | $4.07 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.91 Median $2.40 Typical High $2.40 | Professional | None | $1.91 | $2.40 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $7.76 Typical High $19.50 | Facility | None | $1.41 | $7.76 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.75 Typical High $3.31 | Professional | None | $2.63 | $2.75 | $3.31 |
Health Partners Setting Facility Modifier None Typical Low $4.90 Median $7.76 Typical High $18.62 | Facility | None | $4.90 | $7.76 | $18.62 |
Health Partners Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $2.45 Typical High $79.43 | Facility | None | $1.00 | $2.45 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.91 Median $1.12 Typical High $11.75 | Professional | None | $0.91 | $1.12 | $11.75 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.12 Typical High $2.04 | Professional | None | $0.78 | $1.12 | $2.04 |
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 $0.26 Median $0.26 Typical High $0.26 | Facility | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Facility | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.25 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
Where Minnesota sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$2.14
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.