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 $1.48 Median $1.48 Typical High $1.48 | Facility | None | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $1.48 Typical High $1.48 | Professional | None | $1.45 | $1.48 | $1.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.86 Median $2.45 Typical High $3.47 | Facility | None | $1.86 | $2.45 | $3.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | None | $1.62 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $6.61 Typical High $16.98 | Facility | None | $1.20 | $6.61 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.40 Typical High $2.88 | Professional | None | $2.24 | $2.40 | $2.88 |
Health Partners Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $15.85 | Facility | None | $4.27 | $6.76 | $15.85 |
Health Partners Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Medica Setting Facility Modifier None Typical Low $0.85 Median $2.09 Typical High $79.43 | Facility | None | $0.85 | $2.09 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.79 Median $0.95 Typical High $9.77 | Professional | None | $0.79 | $0.95 | $9.77 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.95 Typical High $1.74 | Professional | None | $0.68 | $0.95 | $1.74 |
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 $0.22 Median $0.22 Typical High $0.22 | Facility | 55 · Aftercare only | $0.22 | $0.22 | $0.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Where Minnesota sits
The same service costs 2.1 times more in Kansas than in Kentucky. 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· 11th of 51
$1.86
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.