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 $10.00 Median $27.54 Typical High $27.54 | Facility | None | $10.00 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $27.54 | Professional | None | $9.12 | $13.80 | $27.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.46 Median $51.29 Typical High $95.50 | Facility | None | $6.46 | $51.29 | $95.50 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.96 Median $26.92 Typical High $57.54 | Professional | None | $10.96 | $26.92 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $234.42 | Facility | None | $54.95 | $83.18 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $22.39 Typical High $33.11 | Professional | None | $9.55 | $22.39 | $33.11 |
Health Partners Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $186.21 | Facility | None | $47.86 | $77.62 | $186.21 |
Health Partners Setting Professional Modifier None Typical Low $9.33 Median $19.95 Typical High $26.30 | Professional | None | $9.33 | $19.95 | $26.30 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $22.91 Typical High $45.71 | Facility | None | $12.02 | $22.91 | $45.71 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $60.26 Typical High $147.91 | Professional | None | $22.39 | $60.26 | $147.91 |
United Setting Professional Modifier None Typical Low $9.55 Median $22.91 Typical High $57.54 | Professional | None | $9.55 | $22.91 | $57.54 |
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 $1.48 Median $4.07 Typical High $4.07 | Facility | 55 · Aftercare only | $1.48 | $4.07 | $4.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.00 Median $2.75 Typical High $2.75 | Facility | 56 · Pre-op care only | $1.00 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $2.09 Typical High $4.07 | Professional | 55 · Aftercare only | $1.41 | $2.09 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.38 Typical High $2.75 | Professional | 56 · Pre-op care only | $0.93 | $1.38 | $2.75 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 4th of 51
$26.30
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.