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 $112.20 Median $128.82 Typical High $151.36 | Facility | None | $112.20 | $128.82 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $177.83 | Professional | None | $112.20 | $134.90 | $177.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $239.88 Median $501.19 Typical High $1,659.59 | Facility | None | $239.88 | $501.19 | $1,659.59 |
BCBS Minnesota Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $426.58 | Professional | None | $218.78 | $281.84 | $426.58 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $173.78 Median $223.87 Typical High $338.84 | Professional | 25 · Same-day visit | $173.78 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $371.54 | Professional | None | $125.89 | $169.82 | $371.54 |
Health Partners Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $269.15 | Facility | None | $190.55 | $239.88 | $269.15 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $1,000.00 | Professional | None | $190.55 | $363.08 | $1,000.00 |
United Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $562.34 | Professional | None | $181.97 | $323.59 | $562.34 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.85 |
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· 5th of 51
$240
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.