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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | None | $501.19 | $501.19 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Facility | None | $537.03 | $602.56 | $912.01 |
BCBS Minnesota Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $602.56 | Professional | None | $489.78 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,041.74 Typical High $5,128.61 | Facility | None | $380.19 | $2,041.74 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $870.96 | Professional | None | $691.83 | $741.31 | $870.96 |
Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $4,897.79 | Facility | None | $1,288.25 | $2,089.30 | $4,897.79 |
Health Partners Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $3,311.31 | Facility | None | $281.84 | $616.60 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $1,288.25 | Professional | None | $239.88 | $446.68 | $1,288.25 |
United Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $977.24 | Facility | None | $691.83 | $812.83 | $977.24 |
United Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $616.60 | Professional | None | $199.53 | $346.74 | $616.60 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $57.54 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 15th of 51
$589
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.