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 $54.95 Median $63.10 Typical High $74.13 | Facility | None | $54.95 | $63.10 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $107.15 | Professional | None | $54.95 | $69.18 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $724.44 | Facility | None | $141.25 | $295.12 | $724.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $251.19 | Professional | None | $120.23 | $158.49 | $251.19 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $128.82 Typical High $199.53 | Professional | 25 · Same-day visit | $95.50 | $128.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $794.33 | Facility | None | $186.21 | $281.84 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $331.13 | Professional | None | $134.90 | $218.78 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $616.60 | Facility | None | $165.96 | $263.03 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $275.42 | Professional | None | $134.90 | $199.53 | $275.42 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $151.36 | Facility | None | $100.00 | $125.89 | $151.36 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $199.53 Typical High $323.59 | Professional | None | $89.13 | $199.53 | $323.59 |
United Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $239.88 | Professional | None | $81.28 | $151.36 | $239.88 |
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 $37.15 Typical High $37.15 | Facility | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 55 · Aftercare only | $10.96 | $10.96 | $10.96 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $35.48 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.72 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.24 | $7.41 | $7.41 |
Where Minnesota sits
The same service costs 2.3 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
$141
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.