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 $32.36 Median $50.12 Typical High $114.82 | Facility | None | $32.36 | $50.12 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $81.28 | Professional | None | $32.36 | $50.12 | $81.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $501.19 | Facility | None | $81.28 | $173.78 | $501.19 |
BCBS Minnesota Setting Professional Modifier None Typical Low $57.54 Median $104.71 Typical High $173.78 | Professional | None | $57.54 | $104.71 | $173.78 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $45.71 Median $83.18 Typical High $138.04 | Professional | 25 · Same-day visit | $45.71 | $83.18 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $724.44 | Facility | None | $165.96 | $251.19 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $134.90 Typical High $234.42 | Professional | None | $77.62 | $134.90 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $562.34 | Facility | None | $151.36 | $239.88 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $208.93 | Professional | None | $77.62 | $131.83 | $208.93 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $218.78 | Facility | None | $64.57 | $100.00 | $218.78 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $457.09 | Professional | None | $81.28 | $181.97 | $457.09 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $125.89 Median $186.21 Typical High $223.87 | Professional | 25 · Same-day visit | $125.89 | $186.21 | $223.87 |
United Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $190.55 | Professional | None | $54.95 | $97.72 | $190.55 |
6 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 52 · Reduced service Typical Low $21.38 Median $33.88 Typical High $33.88 | Facility | 52 · Reduced service | $21.38 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.46 Median $10.00 Typical High $10.00 | Facility | 55 · Aftercare only | $6.46 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.27 Median $6.76 Typical High $6.76 | Facility | 56 · Pre-op care only | $4.27 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $26.92 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $8.13 Typical High $10.00 | Professional | 55 · Aftercare only | $6.46 | $8.13 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.50 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.27 | $5.50 | $6.76 |
Where Minnesota sits
The same service costs 2.2 times more in Alaska 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· 6th of 51
$87.10
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.