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 $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | None | $3.55 | $3.63 | $3.63 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $8.51 | Facility | None | $4.57 | $6.03 | $8.51 |
BCBS Minnesota Setting Professional Modifier None Typical Low $4.07 Median $5.01 Typical High $5.01 | Professional | None | $4.07 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $16.60 Typical High $41.69 | Facility | None | $2.95 | $16.60 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $7.08 | Professional | None | $5.62 | $6.03 | $7.08 |
Health Partners Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $39.81 | Facility | None | $10.47 | $16.98 | $39.81 |
Health Partners Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Medica Setting Facility Modifier None Typical Low $2.09 Median $5.13 Typical High $79.43 | Facility | None | $2.09 | $5.13 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $24.55 | Professional | None | $1.95 | $2.29 | $24.55 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $4.27 | Professional | None | $1.62 | $2.29 | $4.27 |
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 $0.55 Median $0.55 Typical High $0.55 | Facility | 55 · Aftercare only | $0.55 | $0.55 | $0.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.37 Typical High $0.37 | Facility | 56 · Pre-op care only | $0.37 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.55 Typical High $0.55 | Professional | 55 · Aftercare only | $0.52 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.36 | $0.37 | $0.37 |
Where Minnesota sits
The same service costs 2.1 times more in Montana 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
$4.57
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.