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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | None | $234.42 | $234.42 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $457.09 | Facility | None | $223.87 | $338.84 | $457.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $229.09 | Professional | None | $181.97 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $302.00 | Facility | None | $234.42 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $302.00 | Professional | None | $239.88 | $263.03 | $302.00 |
Health Partners Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $389.05 | Facility | None | $151.36 | $229.09 | $389.05 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $416.87 | Professional | None | $229.09 | $229.09 | $416.87 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $426.58 | Professional | None | $229.09 | $229.09 | $426.58 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.99 |
Where Minnesota sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 27th of 51
$234
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.