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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Facility | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.30 Median $12.88 Typical High $72.44 | Facility | None | $12.30 | $12.88 | $72.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $12.88 | Professional | None | $10.23 | $11.48 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $123.03 | Facility | None | $28.84 | $43.65 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $17.78 | Professional | None | $14.13 | $15.49 | $17.78 |
Health Partners Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $97.72 | Facility | None | $26.30 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $100.00 | Facility | None | $16.22 | $16.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $17.38 | Professional | None | $7.08 | $10.00 | $17.38 |
United Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | None | $10.00 | $10.00 | $17.38 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.75 Typical High $6.46 | Professional | 52 · Reduced service | $5.13 | $5.75 | $6.46 |
Where Minnesota sits
The same service costs 331.1 times more in New Jersey 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· 9th of 51
$13.80
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.