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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | None | $3.09 | $3.09 | $3.16 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.51 Median $4.79 Typical High $6.46 | Facility | None | $2.51 | $4.79 | $6.46 |
BCBS Minnesota Setting Professional Modifier KD · Drug infused by equipment Typical Low $2.24 Median $2.82 Typical High $3.16 | Professional | KD · Drug infused by equipment | $2.24 | $2.82 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $8.71 Typical High $11.75 | Facility | None | $4.27 | $8.71 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $3.98 | Professional | None | $3.09 | $3.31 | $3.98 |
Health Partners Setting Facility Modifier None Typical Low $3.31 Median $8.13 Typical High $12.30 | Facility | None | $3.31 | $8.13 | $12.30 |
Health Partners Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $5.50 Typical High $7.76 | Facility | None | $3.24 | $5.50 | $7.76 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $3.24 Typical High $4.37 | Professional | None | $1.29 | $3.24 | $4.37 |
United Setting Professional Modifier None Typical Low $1.26 Median $3.16 Typical High $4.57 | Professional | None | $1.26 | $3.16 | $4.57 |
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 $0.46 Median $0.46 Typical High $0.46 | Facility | 55 · Aftercare only | $0.46 | $0.46 | $0.46 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.31 | Facility | 56 · Pre-op care only | $0.31 | $0.31 | $0.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.47 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.32 |
Where Minnesota sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 28th of 51
$3.16
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.