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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,951.21 | $3,162.28 | $3,162.28 |
BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $5,754.40 | Facility | None | $3,467.37 | $3,801.89 | $5,754.40 |
BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $13,182.57 Typical High $33,113.11 | Facility | None | $2,454.71 | $13,182.57 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $5,623.41 | Professional | None | $4,365.16 | $4,677.35 | $5,623.41 |
Health Partners Setting Facility Modifier None Typical Low $8,317.64 Median $13,182.57 Typical High $30,902.95 | Facility | None | $8,317.64 | $13,182.57 | $30,902.95 |
Health Partners Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,890.45 Typical High $17,782.79 | Facility | None | $1,659.59 | $3,890.45 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $19,054.61 | Professional | None | $1,513.56 | $2,570.40 | $19,054.61 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $4,677.35 Typical High $5,495.41 | Facility | None | $3,890.45 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,995.26 | $3,467.37 |
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 $478.63 Median $478.63 Typical High $478.63 | Facility | 55 · Aftercare only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | 56 · Pre-op care only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $467.74 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $309.03 | $316.23 | $316.23 |
Where Minnesota sits
The same service costs 2.3 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· 3rd of 51
$3,802
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.