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 $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | None | $4.79 | $4.90 | $4.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.89 Median $6.61 Typical High $10.00 | Facility | None | $5.89 | $6.61 | $10.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $6.76 | Professional | None | $5.37 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $21.88 Typical High $56.23 | Facility | None | $3.98 | $21.88 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $9.55 | Professional | None | $7.59 | $7.94 | $9.55 |
Health Partners Setting Facility Modifier None Typical Low $14.13 Median $22.39 Typical High $52.48 | Facility | None | $14.13 | $22.39 | $52.48 |
Health Partners Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Medica Setting Facility Modifier None Typical Low $2.82 Median $6.76 Typical High $79.43 | Facility | None | $2.82 | $6.76 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $31.62 | Professional | None | $2.51 | $3.09 | $31.62 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $6.03 | Professional | None | $2.19 | $3.09 | $6.03 |
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 $0.72 Median $0.72 Typical High $0.72 | Facility | 55 · Aftercare only | $0.72 | $0.72 | $0.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.49 Typical High $0.49 | Facility | 56 · Pre-op care only | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.72 Typical High $0.72 | Professional | 55 · Aftercare only | $0.71 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.49 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.47 | $0.49 | $0.49 |
Where Minnesota sits
The same service costs 2.2 times more in Minnesota than in Connecticut. 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· 1st of 51
$6.31
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.