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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,096.48 | $1,096.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,288.25 | $1,995.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $4,466.84 Typical High $11,220.18 | Facility | None | $724.44 | $4,466.84 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,584.89 | $1,905.46 |
Health Partners Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $10,715.19 | Facility | None | $2,818.38 | $4,466.84 | $10,715.19 |
Health Partners Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $6,025.60 | Facility | None | $562.34 | $1,318.26 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $6,606.93 | Professional | None | $512.86 | $870.96 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,584.89 | $1,905.46 |
United Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $1,174.90 | Professional | None | $436.52 | $676.08 | $1,174.90 |
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 $162.18 Median $162.18 Typical High $162.18 | Facility | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $107.15 | $109.65 | $109.65 |
Where Minnesota sits
The same service costs 2.4 times more in Hawaii 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· 5th of 51
$1,288
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.