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 $77.62 Median $95.50 Typical High $95.50 | Facility | None | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $95.50 | Professional | None | $77.62 | $85.11 | $95.50 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $288.40 Typical High $870.96 | Facility | None | $141.25 | $288.40 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $269.15 | Professional | None | $117.49 | $177.83 | $269.15 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $93.33 Median $144.54 Typical High $213.80 | Professional | 25 · Same-day visit | $93.33 | $144.54 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $1,023.29 | Facility | None | $234.42 | $346.74 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $331.13 | Professional | None | $141.25 | $223.87 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $794.33 | Facility | None | $213.80 | $338.84 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $295.12 | Professional | None | $144.54 | $213.80 | $295.12 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $204.17 | Facility | None | $97.72 | $151.36 | $204.17 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $309.03 Typical High $724.44 | Professional | None | $114.82 | $309.03 | $724.44 |
United Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $295.12 | Professional | None | $91.20 | $151.36 | $295.12 |
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 $38.90 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $38.90 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $14.13 Typical High $14.13 | Facility | 55 · Aftercare only | $11.48 | $14.13 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $9.55 Typical High $9.55 | Facility | 56 · Pre-op care only | $7.76 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.51 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.76 | $8.51 | $9.55 |
Where Minnesota sits
The same service costs 2.5 times more in Alaska than in Florida. 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
$186
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.