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 $95.50 Median $512.86 Typical High $891.25 | Facility | None | $95.50 | $512.86 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $181.97 | Professional | None | $95.50 | $107.15 | $181.97 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $645.65 Typical High $1,202.26 | Facility | None | $190.55 | $645.65 | $1,202.26 |
BCBS Minnesota Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $338.84 | Professional | None | $158.49 | $229.09 | $338.84 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $128.82 Median $186.21 Typical High $269.15 | Professional | 25 · Same-day visit | $128.82 | $186.21 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $1,148.15 | Facility | None | $269.15 | $398.11 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $380.19 | Professional | None | $173.78 | $302.00 | $380.19 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $912.01 | Facility | None | $245.47 | $389.05 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $338.84 | Professional | None | $173.78 | $302.00 | $338.84 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $724.44 | Facility | None | $147.91 | $204.17 | $724.44 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $371.54 Typical High $1,174.90 | Professional | None | $138.04 | $371.54 | $1,174.90 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | 25 · Same-day visit | $245.47 | $323.59 | $524.81 |
United Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $363.08 | Professional | None | $114.82 | $213.80 | $363.08 |
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 $47.86 Median $53.70 Typical High $53.70 | Facility | 52 · Reduced service | $47.86 | $53.70 | $53.70 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $16.22 Typical High $16.22 | Facility | 55 · Aftercare only | $14.45 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $10.72 | Facility | 56 · Pre-op care only | $9.55 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.14 Typical High $16.22 | Professional | 55 · Aftercare only | $13.80 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.00 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.33 | $10.00 | $10.72 |
Where Minnesota sits
The same service costs 2.7 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
$245
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.