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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $117.49 | Facility | None | $69.18 | $75.86 | $117.49 |
BCBS Minnesota Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | None | $61.66 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $263.03 Typical High $660.69 | Facility | None | $43.65 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $112.20 | Professional | None | $89.13 | $93.33 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $616.60 | Facility | None | $165.96 | $263.03 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $77.62 Typical High $354.81 | Facility | None | $33.11 | $77.62 | $354.81 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $380.19 | Professional | None | $30.20 | $51.29 | $380.19 |
United Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $112.20 | Facility | None | $79.43 | $93.33 | $112.20 |
United Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $69.18 | Professional | None | $25.12 | $39.81 | $69.18 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.33 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.46 |
Where Minnesota sits
The same service costs 2.2 times more in Montana than in West Virginia. 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· 7th of 51
$75.86
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.