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 $33.11 Median $38.02 Typical High $44.67 | Facility | None | $33.11 | $38.02 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $75.86 | Professional | None | $33.11 | $38.02 | $75.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $85.11 Median $177.83 Typical High $389.05 | Facility | None | $85.11 | $177.83 | $389.05 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $151.36 | Professional | None | $70.79 | $93.33 | $151.36 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $56.23 Median $75.86 Typical High $120.23 | Professional | 25 · Same-day visit | $56.23 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $467.74 | Facility | None | $109.65 | $165.96 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $194.98 | Professional | None | $79.43 | $131.83 | $194.98 |
Health Partners Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $371.54 | Facility | None | $100.00 | $158.49 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $165.96 | Professional | None | $79.43 | $120.23 | $165.96 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $109.65 | Facility | None | $46.77 | $75.86 | $109.65 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $346.74 | Professional | None | $44.67 | $100.00 | $346.74 |
United Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $128.82 | Professional | None | $43.65 | $83.18 | $128.82 |
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 $22.39 Median $22.39 Typical High $22.39 | Facility | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 55 · Aftercare only | $6.61 | $6.61 | $6.61 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | 56 · Pre-op care only | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.17 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.17 | $4.47 | $4.47 |
Where Minnesota sits
The same service costs 2.7 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· 2nd of 51
$83.18
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.