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 $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.93 | Professional | None | $0.89 | $0.89 | $0.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $0.81 Median $1.35 Typical High $1.95 | Facility | None | $0.81 | $1.35 | $1.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $0.71 Median $0.81 Typical High $1.02 | Professional | None | $0.71 | $0.81 | $1.02 |
Cigna Setting Facility Modifier None Typical Low $1.26 Median $2.57 Typical High $3.55 | Facility | None | $1.26 | $2.57 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $0.95 Median $1.02 Typical High $1.20 | Professional | None | $0.95 | $1.02 | $1.20 |
Health Partners Setting Facility Modifier None Typical Low $1.00 Median $2.45 Typical High $3.63 | Facility | None | $1.00 | $2.45 | $3.63 |
Health Partners Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | None | $0.93 | $0.93 | $0.93 |
Medica Setting Facility Modifier None Typical Low $0.68 Median $1.70 Typical High $6.03 | Facility | None | $0.68 | $1.70 | $6.03 |
Medica Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $1.20 | Professional | None | $0.68 | $0.68 | $1.20 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.91 | Professional | None | $1.02 | $1.02 | $1.91 |
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 $0.14 Median $0.14 Typical High $0.14 | Facility | 55 · Aftercare only | $0.14 | $0.14 | $0.14 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Facility | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Where Minnesota sits
The same service costs 2.3 times more in South Carolina than in North Dakota. 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· 44th of 51
$0.93
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.