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 $63.10 Median $81.28 Typical High $154.88 | Facility | None | $63.10 | $81.28 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $144.54 | Professional | None | $54.95 | $79.43 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $758.58 | Facility | None | $144.54 | $302.00 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $281.84 | Professional | None | $100.00 | $169.82 | $281.84 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $134.90 Typical High $223.87 | Professional | 25 · Same-day visit | $79.43 | $134.90 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $1,096.48 | Facility | None | $257.04 | $380.19 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $363.08 | Professional | None | $131.83 | $223.87 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $870.96 | Facility | None | $234.42 | $371.54 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $323.59 | Professional | None | $134.90 | $204.17 | $323.59 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $316.23 | Facility | None | $95.50 | $154.88 | $316.23 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $691.83 | Professional | None | $125.89 | $281.84 | $691.83 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $181.97 Median $269.15 Typical High $338.84 | Professional | 25 · Same-day visit | $181.97 | $269.15 | $338.84 |
United Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $275.42 | Professional | None | $81.28 | $141.25 | $275.42 |
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 $37.15 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $37.15 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $15.49 Typical High $15.49 | Facility | 55 · Aftercare only | $10.96 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.23 Typical High $10.23 | Facility | 56 · Pre-op care only | $7.41 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $41.69 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.59 Typical High $15.49 | Professional | 55 · Aftercare only | $10.96 | $12.59 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.32 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.41 | $8.32 | $10.23 |
Where Minnesota sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 2nd of 51
$148
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.