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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $660.69 | Professional | None | $588.84 | $660.69 | $660.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,202.26 | Facility | None | $707.95 | $794.33 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $812.83 | Professional | None | $645.65 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,691.53 Typical High $6,918.31 | Facility | None | $562.34 | $2,691.53 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,174.90 | Professional | None | $912.01 | $977.24 | $1,174.90 |
Health Partners Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $6,456.54 | Facility | None | $1,737.80 | $2,754.23 | $6,456.54 |
Health Partners Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $794.33 Typical High $3,467.37 | Facility | None | $223.87 | $794.33 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $3,801.89 | Professional | None | $302.00 | $501.19 | $3,801.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,096.48 | Facility | None | $776.25 | $912.01 | $1,096.48 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $691.83 | Professional | None | $263.03 | $398.11 | $691.83 |
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 $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $60.26 | $66.07 | $66.07 |
Where Minnesota sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 4th of 51
$794
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.