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 $141.25 Median $158.49 Typical High $186.21 | Facility | None | $141.25 | $158.49 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $245.47 | Professional | None | $141.25 | $173.78 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $2,137.96 | Facility | None | $363.08 | $758.58 | $2,137.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $630.96 | Professional | None | $302.00 | $407.38 | $630.96 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $239.88 Median $323.59 Typical High $512.86 | Professional | 25 · Same-day visit | $239.88 | $323.59 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,995.26 | Facility | None | $467.74 | $707.95 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $831.76 | Professional | None | $338.84 | $549.54 | $831.76 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $1,584.89 | Facility | None | $416.87 | $676.08 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $691.83 | Professional | None | $338.84 | $501.19 | $691.83 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $467.74 | Facility | None | $281.84 | $323.59 | $467.74 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $478.63 Typical High $1,288.25 | Professional | None | $245.47 | $478.63 | $1,288.25 |
United Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $724.44 | Professional | None | $234.42 | $436.52 | $724.44 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $20.89 |
Where Minnesota sits
The same service costs 2.4 times more in Alaska than in Utah. 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
$372
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.