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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | None | $10.00 | $10.23 | $10.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.88 Median $16.98 Typical High $23.99 | Facility | None | $12.88 | $16.98 | $23.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | None | $11.22 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $47.86 Typical High $120.23 | Facility | None | $8.32 | $47.86 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $20.42 | Professional | None | $16.22 | $16.98 | $20.42 |
Health Partners Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $114.82 | Facility | None | $30.20 | $47.86 | $114.82 |
Health Partners Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $14.45 Typical High $79.43 | Facility | None | $5.89 | $14.45 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $69.18 | Professional | None | $5.50 | $6.46 | $69.18 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.46 Typical High $11.75 | Professional | None | $4.57 | $6.46 | $11.75 |
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 $1.51 Median $1.51 Typical High $1.51 | Facility | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.02 Typical High $1.02 | Facility | 56 · Pre-op care only | $1.02 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.48 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $1.00 | $1.02 | $1.02 |
Where Minnesota sits
The same service costs 2.1 times more in Idaho than in Delaware. 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
$12.59
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.