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 $109.65 Median $147.91 Typical High $177.83 | Facility | None | $109.65 | $147.91 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $177.83 | Professional | None | $109.65 | $147.91 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $1,513.56 | Facility | None | $234.42 | $489.78 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $407.38 | Professional | None | $186.21 | $257.04 | $407.38 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $147.91 Median $204.17 Typical High $323.59 | Professional | 25 · Same-day visit | $147.91 | $204.17 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $288.40 | Professional | None | $128.82 | $177.83 | $288.40 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $389.05 | Professional | None | $151.36 | $281.84 | $389.05 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $380.19 | Facility | None | $169.82 | $251.19 | $380.19 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $467.74 Typical High $1,122.02 | Professional | None | $199.53 | $467.74 | $1,122.02 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $346.74 Median $524.81 Typical High $645.65 | Professional | 25 · Same-day visit | $346.74 | $524.81 | $645.65 |
United Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $501.19 | Professional | None | $158.49 | $234.42 | $501.19 |
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 $74.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $74.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $21.88 Median $26.92 Typical High $26.92 | Facility | 55 · Aftercare only | $21.88 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.78 Typical High $17.78 | Facility | 56 · Pre-op care only | $14.79 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $23.44 Typical High $26.92 | Professional | 55 · Aftercare only | $21.88 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.49 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.79 | $15.49 | $17.78 |
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· 11th of 51
$200
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.