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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $501.19 | Professional | None | $467.74 | $467.74 | $501.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $954.99 | Facility | None | $467.74 | $933.25 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $467.74 | Professional | None | $371.54 | $426.58 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,445.44 | Facility | None | $602.56 | $724.44 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $602.56 | Professional | None | $478.63 | $524.81 | $602.56 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $660.69 Typical High $1,778.28 | Facility | None | $575.44 | $660.69 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $831.76 | Facility | None | $190.55 | $380.19 | $831.76 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $912.01 | Professional | None | $489.78 | $549.54 | $912.01 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $870.96 | Professional | None | $467.74 | $524.81 | $870.96 |
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 $69.18 Median $69.18 Typical High $69.18 | Facility | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 56 · Pre-op care only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $47.86 |
Where Minnesota sits
The same service costs 3.9 times more in Alabama 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· 36th of 51
$479
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.