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 $87.10 Median $100.00 Typical High $117.49 | Facility | None | $87.10 | $100.00 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $141.25 | Professional | None | $87.10 | $102.33 | $141.25 |
BCBS Minnesota Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $1,288.25 | Facility | None | $123.03 | $416.87 | $1,288.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $426.58 | Professional | None | $208.93 | $269.15 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $1,258.93 | Facility | None | $288.40 | $436.52 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $457.09 | Professional | None | $144.54 | $269.15 | $457.09 |
Health Partners Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $977.24 | Facility | None | $263.03 | $416.87 | $977.24 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $416.87 | Professional | None | $144.54 | $234.42 | $416.87 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $575.44 | Facility | None | $117.49 | $190.55 | $575.44 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $416.87 | Professional | None | $123.03 | $229.09 | $416.87 |
United Setting Professional Modifier None Typical Low $117.49 Median $275.42 Typical High $426.58 | Professional | None | $117.49 | $275.42 | $426.58 |
7 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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $12.88 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $169.82 Median $213.80 Typical High $338.84 | Professional | 25 · Same-day visit | $169.82 | $213.80 | $338.84 |
Where Minnesota sits
The same service costs 2.1 times more in Wisconsin 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· 9th of 51
$158
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.