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 $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.47 Typical High $3.47 | Professional | None | $3.31 | $3.47 | $3.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.37 Median $5.62 Typical High $7.94 | Facility | None | $4.37 | $5.62 | $7.94 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3.80 Median $4.68 Typical High $4.68 | Professional | None | $3.80 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $15.49 Typical High $38.90 | Facility | None | $2.57 | $15.49 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $6.61 | Professional | None | $5.25 | $5.62 | $6.61 |
Health Partners Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $37.15 | Facility | None | $9.77 | $15.85 | $37.15 |
Health Partners Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Medica Setting Facility Modifier None Typical Low $1.58 Median $4.79 Typical High $79.43 | Facility | None | $1.58 | $4.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.62 Median $2.19 Typical High $22.39 | Professional | None | $1.62 | $2.19 | $22.39 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.19 Typical High $3.98 | Professional | None | $1.55 | $2.19 | $3.98 |
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 $0.51 Median $0.51 Typical High $0.51 | Facility | 55 · Aftercare only | $0.51 | $0.51 | $0.51 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.34 | Facility | 56 · Pre-op care only | $0.34 | $0.34 | $0.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 55 · Aftercare only | $0.50 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.33 | $0.34 | $0.34 |
Where Minnesota sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 6th of 51
$4.27
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.