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 $0.56 Median $0.56 Typical High $0.56 | Facility | None | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.62 | Professional | None | $0.56 | $0.56 | $0.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.50 Median $0.71 Typical High $1.17 | Facility | None | $0.50 | $0.71 | $1.17 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.45 Median $0.59 Typical High $0.65 | Professional | None | $0.45 | $0.59 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $0.49 Median $1.00 Typical High $1.35 | Facility | None | $0.49 | $1.00 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.71 | Professional | None | $0.56 | $0.56 | $0.71 |
Health Partners Setting Facility Modifier None Typical Low $0.38 Median $0.93 Typical High $1.41 | Facility | None | $0.38 | $0.93 | $1.41 |
Health Partners Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | None | $0.56 | $0.56 | $0.56 |
Medica Setting Facility Modifier None Typical Low $0.76 Median $4.27 Typical High $7.41 | Facility | None | $0.76 | $4.27 | $7.41 |
Medica Setting Professional Modifier None Typical Low $0.45 Median $0.50 Typical High $2.57 | Professional | None | $0.45 | $0.50 | $2.57 |
United Setting Professional Modifier None Typical Low $0.65 Median $0.68 Typical High $1.07 | Professional | None | $0.65 | $0.68 | $1.07 |
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 $0.09 Median $0.09 Typical High $0.09 | Facility | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Where Minnesota sits
The same service costs 1.9 times more in Wyoming than in Oklahoma. 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· 40th of 51
$0.56
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.