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 $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.82 Typical High $2.82 | Professional | None | $2.69 | $2.82 | $2.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $6.46 | Facility | None | $3.55 | $4.68 | $6.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $3.89 | Professional | None | $3.09 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $13.18 Typical High $33.88 | Facility | None | $2.29 | $13.18 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $5.75 | Professional | None | $4.47 | $4.79 | $5.75 |
Health Partners Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $31.62 | Facility | None | $8.51 | $13.49 | $31.62 |
Health Partners Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Medica Setting Facility Modifier None Typical Low $1.58 Median $3.89 Typical High $79.43 | Facility | None | $1.58 | $3.89 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $1.78 Typical High $6.92 | Professional | None | $1.51 | $1.78 | $6.92 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $3.24 | Professional | None | $1.26 | $1.78 | $3.24 |
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 $0.42 Median $0.42 Typical High $0.42 | Facility | 55 · Aftercare only | $0.42 | $0.42 | $0.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.41 Median $0.42 Typical High $0.42 | Professional | 55 · Aftercare only | $0.41 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.27 | $0.28 | $0.28 |
Where Minnesota sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$3.47
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.