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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 55 · Aftercare only | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $56.23 | Professional | None | $35.48 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $8.32 |
BCBS Minnesota Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $120.23 | Facility | None | $67.61 | $74.13 | $120.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | None | $60.26 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $229.09 Typical High $588.84 | Facility | None | $44.67 | $229.09 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $100.00 | Professional | None | $77.62 | $79.43 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $549.54 | Facility | None | $147.91 | $234.42 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $309.03 | Facility | None | $67.61 | $70.79 | $309.03 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $44.67 Typical High $630.96 | Professional | None | $26.92 | $44.67 | $630.96 |
United Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $70.79 | Professional | None | $21.38 | $32.36 | $70.79 |
2 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 Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.01 Typical High $22.91 | Professional | 56 · Pre-op care only | $3.55 | $5.01 | $22.91 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Minnesota sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 7th of 51
$74.13
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.