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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | None | $10.72 | $12.59 | $12.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $21.38 | Facility | None | $10.96 | $16.22 | $21.38 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $8.51 Median $9.55 Typical High $10.72 | Professional | KD · Drug infused by equipment | $8.51 | $9.55 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $27.54 Typical High $38.02 | Facility | None | $13.49 | $27.54 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $13.49 | Professional | None | $10.72 | $11.48 | $13.49 |
Health Partners Setting Facility Modifier None Typical Low $10.72 Median $26.30 Typical High $38.90 | Facility | None | $10.72 | $26.30 | $38.90 |
Health Partners Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $25.70 | Facility | None | $10.23 | $11.22 | $25.70 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $18.62 | Professional | None | $10.23 | $10.23 | $18.62 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $19.50 | Professional | None | $10.47 | $10.47 | $19.50 |
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 $1.91 Median $1.91 Typical High $1.91 | Facility | 55 · Aftercare only | $1.91 | $1.91 | $1.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | 56 · Pre-op care only | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.91 Typical High $1.91 | Professional | 55 · Aftercare only | $1.62 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.07 | $1.26 | $1.26 |
Where Minnesota sits
The same service costs 1.7 times more in Arizona than in New York. 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· 9th of 51
$12.59
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.