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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,715.35 | $4,073.80 | $4,073.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,365.16 Median $4,786.30 Typical High $7,413.10 | Facility | None | $4,365.16 | $4,786.30 | $7,413.10 |
BCBS Minnesota Setting Professional Modifier None Typical Low $3,981.07 Median $4,897.79 Typical High $4,897.79 | Professional | None | $3,981.07 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $16,595.87 Typical High $41,686.94 | Facility | None | $2,884.03 | $16,595.87 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $7,079.46 | Professional | None | $5,623.41 | $5,888.44 | $7,079.46 |
Health Partners Setting Facility Modifier None Typical Low $10,471.29 Median $16,595.87 Typical High $39,810.72 | Facility | None | $10,471.29 | $16,595.87 | $39,810.72 |
Health Partners Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $4,897.79 Typical High $22,387.21 | Facility | None | $2,089.30 | $4,897.79 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $24,547.09 | Professional | None | $1,905.46 | $3,235.94 | $24,547.09 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $7,079.46 | Facility | None | $5,011.87 | $5,888.44 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,511.89 | $4,365.16 |
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 $602.56 Median $602.56 Typical High $602.56 | Facility | 55 · Aftercare only | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 56 · Pre-op care only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | 55 · Aftercare only | $588.84 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $398.11 | $407.38 | $407.38 |
Where Minnesota sits
The same service costs 2.4 times more in Montana 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· 2nd of 51
$4,786
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.