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 Professional Modifier None Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | None | $0.72 | $0.76 | $0.76 |
BCBS Minnesota Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | None | $9.33 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $2.95 Typical High $4.07 | Facility | None | $1.45 | $2.95 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.20 Typical High $1.45 | Professional | None | $1.12 | $1.20 | $1.45 |
Health Partners Setting Facility Modifier None Typical Low $1.15 Median $2.82 Typical High $4.27 | Facility | None | $1.15 | $2.82 | $4.27 |
Health Partners Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Medica Setting Facility Modifier None Typical Low $0.52 Median $0.89 Typical High $5.01 | Facility | None | $0.52 | $0.89 | $5.01 |
Medica Setting Professional Modifier None Typical Low $0.36 Median $0.89 Typical High $1.20 | Professional | None | $0.36 | $0.89 | $1.20 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.89 Typical High $1.32 | Professional | None | $0.36 | $0.89 | $1.32 |
1 more rate 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 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Where Minnesota sits
The same service costs 3.1 times more in Kansas 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· 4th of 51
$1.12
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.