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 $147.91 Median $194.98 Typical High $229.09 | Facility | None | $147.91 | $194.98 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $229.09 | Professional | None | $147.91 | $190.55 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,905.46 | Facility | None | $316.23 | $660.69 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $537.03 | Professional | None | $245.47 | $331.13 | $537.03 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $199.53 Median $269.15 Typical High $426.58 | Professional | 25 · Same-day visit | $199.53 | $269.15 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $371.54 | Professional | None | $162.18 | $223.87 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $363.08 Typical High $467.74 | Professional | None | $144.54 | $363.08 | $467.74 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $467.74 | Facility | None | $218.78 | $331.13 | $467.74 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $575.44 Typical High $1,348.96 | Professional | None | $245.47 | $575.44 | $1,348.96 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $467.74 Median $812.83 Typical High $870.96 | Professional | 25 · Same-day visit | $467.74 | $812.83 | $870.96 |
United Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $616.60 | Professional | None | $194.98 | $288.40 | $616.60 |
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 $97.72 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $97.72 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $29.51 Median $34.67 Typical High $34.67 | Facility | 55 · Aftercare only | $29.51 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $19.50 Median $22.91 Typical High $22.91 | Facility | 56 · Pre-op care only | $19.50 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $28.84 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.05 | $19.50 | $22.91 |
Where Minnesota sits
The same service costs 2.4 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· 10th of 51
$251
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.