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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | None | $11.48 | $11.48 | $12.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $22.91 | Facility | None | $11.48 | $17.38 | $22.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $11.48 | Professional | None | $9.33 | $10.47 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $30.90 Typical High $42.66 | Facility | None | $15.14 | $30.90 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $14.79 | Professional | None | $11.75 | $12.88 | $14.79 |
Health Partners Setting Facility Modifier None Typical Low $12.02 Median $29.51 Typical High $43.65 | Facility | None | $12.02 | $29.51 | $43.65 |
Health Partners Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $11.48 Typical High $19.50 | Facility | None | $10.96 | $11.48 | $19.50 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $20.89 | Professional | None | $11.48 | $11.48 | $20.89 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $21.38 | Professional | None | $11.48 | $11.48 | $21.38 |
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 $1.70 Median $1.70 Typical High $1.70 | Facility | 55 · Aftercare only | $1.70 | $1.70 | $1.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | 56 · Pre-op care only | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.70 Typical High $1.78 | Professional | 55 · Aftercare only | $1.70 | $1.70 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.17 |
Where Minnesota sits
The same service costs 1.5 times more in Alaska than in West 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· 49th of 51
$11.48
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.