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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | None | $125.89 | $128.82 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $234.42 | Facility | None | $141.25 | $154.88 | $234.42 |
BCBS Minnesota Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | None | $125.89 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $537.03 Typical High $1,348.96 | Facility | None | $100.00 | $537.03 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $229.09 | Professional | None | $177.83 | $190.55 | $229.09 |
Health Partners Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $1,258.93 | Facility | None | $338.84 | $537.03 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $154.88 Typical High $724.44 | Facility | None | $66.07 | $154.88 | $724.44 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $295.12 | Professional | None | $61.66 | $104.71 | $295.12 |
United Setting Facility Modifier None Typical Low $158.49 Median $186.21 Typical High $223.87 | Facility | None | $158.49 | $186.21 | $223.87 |
United Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $141.25 | Professional | None | $51.29 | $81.28 | $141.25 |
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 $19.50 Median $19.50 Typical High $19.50 | Facility | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.05 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.59 | $12.88 | $12.88 |
Where Minnesota sits
The same service costs 2.2 times more in Montana than in Florida. 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· 5th of 51
$155
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.