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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | None | $707.95 | $794.33 | $794.33 |
BCBS Minnesota Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,445.44 | Facility | None | $851.14 | $954.99 | $1,445.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | None | $776.25 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,235.94 Typical High $8,128.31 | Facility | None | $524.81 | $3,235.94 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,174.90 | $1,412.54 |
Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $7,762.47 | Facility | None | $2,089.30 | $3,311.31 | $7,762.47 |
Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $954.99 Typical High $4,168.69 | Facility | None | $263.03 | $954.99 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $4,570.88 | Professional | None | $363.08 | $602.56 | $4,570.88 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,318.26 | Facility | None | $933.25 | $1,096.48 | $1,318.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $831.76 | Professional | None | $316.23 | $478.63 | $831.76 |
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 $120.23 Median $120.23 Typical High $120.23 | Facility | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $79.43 |
Where Minnesota sits
The same service costs 3.2 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· 3rd of 51
$955
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.