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 $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | None | $7.94 | $10.00 | $10.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $91.20 | Facility | None | $14.45 | $30.90 | $91.20 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $5.75 Median $7.41 Typical High $12.02 | Professional | 52 · Reduced service + 53 · Discontinued | $5.75 | $7.41 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $29.51 Typical High $83.18 | Facility | None | $19.50 | $29.51 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | None | $9.55 | $9.55 | $12.02 |
Health Partners Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $66.07 | Facility | None | $17.78 | $28.18 | $66.07 |
Health Partners Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $14.79 Typical High $19.95 | Facility | None | $9.12 | $14.79 | $19.95 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $52.48 | Professional | None | $9.33 | $18.62 | $52.48 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $29.51 | Professional | None | $8.51 | $13.80 | $29.51 |
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 $1.48 Typical High $1.48 | Facility | 55 · Aftercare only | $1.48 | $1.48 | $1.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.48 Typical High $1.48 | Professional | 55 · Aftercare only | $1.23 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.81 | $1.00 | $1.00 |
Where Minnesota sits
The same service costs 2.6 times more in Alaska 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· 22nd of 51
$10.00
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.