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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $5.89 | Professional | None | $5.75 | $5.89 | $5.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.41 Median $9.77 Typical High $13.80 | Facility | None | $7.41 | $9.77 | $13.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $8.13 | Professional | None | $6.46 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $27.54 Typical High $70.79 | Facility | None | $4.79 | $27.54 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $12.02 | Professional | None | $9.33 | $10.00 | $12.02 |
Health Partners Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $66.07 | Facility | None | $17.78 | $28.18 | $66.07 |
Health Partners Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $8.32 Typical High $79.43 | Facility | None | $3.47 | $8.32 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.16 Median $3.80 Typical High $39.81 | Professional | None | $3.16 | $3.80 | $39.81 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.80 Typical High $6.92 | Professional | None | $2.63 | $3.80 | $6.92 |
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 $0.89 Median $0.89 Typical High $0.89 | Facility | 55 · Aftercare only | $0.89 | $0.89 | $0.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.59 Typical High $0.59 | Facility | 56 · Pre-op care only | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $0.89 Typical High $0.89 | Professional | 55 · Aftercare only | $0.85 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.59 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.58 | $0.59 | $0.59 |
Where Minnesota sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 10th of 51
$7.41
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.