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 $33.11 Median $34.67 Typical High $34.67 | Facility | None | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $43.65 | Professional | None | $33.11 | $34.67 | $43.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $194.98 | Facility | None | $75.86 | $123.03 | $194.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $114.82 | Professional | None | $52.48 | $77.62 | $114.82 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $41.69 Median $61.66 Typical High $91.20 | Professional | 25 · Same-day visit | $41.69 | $61.66 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $371.54 | Facility | None | $87.10 | $131.83 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $151.36 | Professional | None | $63.10 | $100.00 | $151.36 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $295.12 | Facility | None | $77.62 | $123.03 | $295.12 |
Health Partners Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $128.82 | Professional | None | $60.26 | $89.13 | $128.82 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $102.33 | Facility | None | $52.48 | $66.07 | $102.33 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $128.82 Typical High $331.13 | Professional | None | $61.66 | $128.82 | $331.13 |
United Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $181.97 | Professional | None | $53.70 | $102.33 | $181.97 |
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 $16.60 Median $17.38 Typical High $17.38 | Facility | 52 · Reduced service | $16.60 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.01 Median $5.25 Typical High $5.25 | Facility | 55 · Aftercare only | $5.01 | $5.25 | $5.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.47 Typical High $3.47 | Facility | 56 · Pre-op care only | $3.31 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $16.60 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.13 Typical High $5.25 | Professional | 55 · Aftercare only | $5.01 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.31 | $3.39 | $3.47 |
Where Minnesota sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 6th of 51
$77.62
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.