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 $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.55 Median $2.04 Typical High $3.24 | Facility | None | $1.55 | $2.04 | $3.24 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.41 Median $1.74 Typical High $1.78 | Professional | None | $1.41 | $1.74 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $4.37 Typical High $8.32 | Facility | None | $2.82 | $4.37 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $2.40 | Professional | None | $1.91 | $2.00 | $2.40 |
Health Partners Setting Facility Modifier None Typical Low $2.51 Median $4.07 Typical High $7.08 | Facility | None | $2.51 | $4.07 | $7.08 |
Health Partners Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.51 | Facility | None | $1.74 | $1.74 | $2.51 |
Medica Setting Professional Modifier None Typical Low $0.56 Median $0.85 Typical High $10.00 | Professional | None | $0.56 | $0.85 | $10.00 |
United Setting Professional Modifier None Typical Low $0.56 Median $0.74 Typical High $1.66 | Professional | None | $0.56 | $0.74 | $1.66 |
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 $0.20 Median $0.20 Typical High $0.20 | Facility | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Facility | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Where Minnesota sits
The same service costs 3.1 times more in Hawaii 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
$1.78
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.