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 $89.13 Median $102.33 Typical High $120.23 | Facility | None | $89.13 | $102.33 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $120.23 | Professional | None | $89.13 | $102.33 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $478.63 Typical High $1,047.13 | Facility | None | $229.09 | $478.63 | $1,047.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $338.84 | Professional | None | $186.21 | $245.47 | $338.84 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $151.36 Median $199.53 Typical High $269.15 | Professional | 25 · Same-day visit | $151.36 | $199.53 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $1,288.25 | Facility | None | $281.84 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $549.54 | Professional | None | $223.87 | $323.59 | $549.54 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $1,000.00 | Facility | None | $257.04 | $426.58 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $446.68 | Professional | None | $190.55 | $288.40 | $446.68 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $281.84 | Facility | None | $112.20 | $204.17 | $281.84 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $316.23 | Professional | None | $125.89 | $199.53 | $316.23 |
United Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $346.74 | Professional | None | $114.82 | $199.53 | $346.74 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Where Minnesota sits
The same service costs 2.9 times more in Alaska than in Ohio. 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· 3rd of 51
$204
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.