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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $7.76 | Professional | None | $6.46 | $7.76 | $7.76 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.94 Median $15.14 Typical High $15.85 | Facility | None | $7.94 | $15.14 | $15.85 |
BCBS Minnesota Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | None | $6.46 | $7.94 | $7.94 |
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 $0.38 Median $0.41 Typical High $0.48 | Professional | None | $0.38 | $0.41 | $0.48 |
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 $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Medica Setting Facility Modifier None Typical Low $0.52 Median $6.03 Typical High $13.18 | Facility | None | $0.52 | $6.03 | $13.18 |
Medica Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Professional | None | $0.02 | $0.02 | $0.04 |
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 $1.17 Median $1.17 Typical High $1.17 | Facility | 55 · Aftercare only | $1.17 | $1.17 | $1.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $0.95 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.65 | $0.78 | $0.78 |
Where Minnesota sits
The same service costs 380.2 times more in Alaska than in 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· 4th of 51
$6.46
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.