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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | None | $8.71 | $9.12 | $9.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.48 Median $15.14 Typical High $21.38 | Facility | None | $11.48 | $15.14 | $21.38 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $12.59 | Professional | None | $10.00 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $42.66 Typical High $107.15 | Facility | None | $7.41 | $42.66 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $18.20 | Professional | None | $14.13 | $15.14 | $18.20 |
Health Partners Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $100.00 | Facility | None | $26.92 | $42.66 | $100.00 |
Health Partners Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $12.59 Typical High $79.43 | Facility | None | $5.25 | $12.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $22.39 | Professional | None | $4.90 | $5.75 | $22.39 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $10.47 | Professional | None | $4.07 | $5.75 | $10.47 |
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 $1.35 Median $1.35 Typical High $1.35 | Facility | 55 · Aftercare only | $1.35 | $1.35 | $1.35 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $0.91 | Facility | 56 · Pre-op care only | $0.91 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $1.32 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.91 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.87 | $0.91 | $0.91 |
Where Minnesota sits
The same service costs 2.0 times more in Montana than in Florida. 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
$11.22
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.