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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | None | $4.90 | $5.13 | $5.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.46 Median $8.32 Typical High $11.75 | Facility | None | $6.46 | $8.32 | $11.75 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $7.08 | Professional | None | $5.62 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $23.44 Typical High $58.88 | Facility | None | $4.17 | $23.44 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $10.00 | Professional | None | $7.94 | $8.32 | $10.00 |
Health Partners Setting Facility Modifier None Typical Low $14.79 Median $23.44 Typical High $54.95 | Facility | None | $14.79 | $23.44 | $54.95 |
Health Partners Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medica Setting Facility Modifier None Typical Low $2.95 Median $7.08 Typical High $79.43 | Facility | None | $2.95 | $7.08 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $33.88 | Professional | None | $2.75 | $3.24 | $33.88 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.24 Typical High $5.89 | Professional | None | $2.29 | $3.24 | $5.89 |
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 $0.76 Median $0.76 Typical High $0.76 | Facility | 55 · Aftercare only | $0.76 | $0.76 | $0.76 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.51 Typical High $0.51 | Facility | 56 · Pre-op care only | $0.51 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $0.76 Typical High $0.76 | Professional | 55 · Aftercare only | $0.74 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.50 | $0.51 | $0.51 |
Where Minnesota sits
The same service costs 2.1 times more in Kansas 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· 10th of 51
$6.31
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.