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 $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.02 | Professional | None | $2.95 | $2.95 | $3.02 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.47 Median $5.37 Typical High $6.92 | Facility | None | $3.47 | $5.37 | $6.92 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.51 Median $2.88 Typical High $3.47 | Professional | None | $2.51 | $2.88 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $9.33 Typical High $12.59 | Facility | None | $4.57 | $9.33 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $3.80 | Professional | None | $3.02 | $3.24 | $3.80 |
Health Partners Setting Facility Modifier None Typical Low $3.63 Median $8.71 Typical High $13.18 | Facility | None | $3.63 | $8.71 | $13.18 |
Health Partners Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $9.33 Typical High $11.48 | Facility | None | $3.47 | $9.33 | $11.48 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $6.17 | Professional | None | $3.47 | $3.47 | $6.17 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.89 | Professional | None | $3.16 | $3.16 | $5.89 |
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 $0.44 Median $0.44 Typical High $0.44 | Facility | 55 · Aftercare only | $0.44 | $0.44 | $0.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.45 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.30 |
Where Minnesota sits
The same service costs 6.0 times more in Oklahoma than in Wyoming. 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· 30th 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.