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 $208.93 Median $208.93 Typical High $1,174.90 | Facility | None | $208.93 | $208.93 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None | $186.21 | $208.93 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $457.09 | Facility | None | $251.19 | $302.00 | $457.09 |
BCBS Minnesota Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | None | $204.17 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $851.14 Typical High $2,137.96 | Facility | None | $194.98 | $851.14 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $363.08 | Professional | None | $288.40 | $302.00 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $2,041.74 | Facility | None | $537.03 | $851.14 | $2,041.74 |
Health Partners Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $1,148.15 | Facility | None | $165.96 | $263.03 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $1,318.26 | Professional | None | $97.72 | $177.83 | $1,318.26 |
United Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $239.88 | Professional | None | $83.18 | $134.90 | $239.88 |
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 $30.90 Median $30.90 Typical High $30.90 | Facility | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Where Minnesota sits
The same service costs 2.6 times more in Montana than in New York. 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
$245
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.