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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $87.10 | Professional | None | $39.81 | $87.10 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $199.53 | Facility | None | $21.88 | $22.91 | $199.53 |
BCBS Minnesota Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $35.48 | Professional | None | $28.84 | $34.67 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $141.25 | Facility | None | $51.29 | $102.33 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $53.70 | Professional | None | $39.81 | $43.65 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $147.91 | Facility | None | $39.81 | $97.72 | $147.91 |
Health Partners Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $43.65 Typical High $199.53 | Facility | None | $22.91 | $43.65 | $199.53 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $660.69 | Professional | None | $42.66 | $42.66 | $660.69 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $63.10 | Professional | None | $42.66 | $42.66 | $63.10 |
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 $12.88 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | 56 · Pre-op care only | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $7.41 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.01 | $8.71 | $8.71 |
Where Minnesota sits
The same service costs 2.6 times more in Texas 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· 45th of 51
$42.66
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.