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 $48.98 Median $63.10 Typical High $63.10 | Facility | None | $48.98 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $31.62 Typical High $31.62 | Facility | 52 · Reduced service | $24.55 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.41 Median $9.55 Typical High $9.55 | Facility | 55 · Aftercare only | $7.41 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.31 Typical High $6.31 | Facility | 56 · Pre-op care only | $4.90 | $6.31 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $63.10 | Professional | None | $48.98 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $24.55 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $8.51 Typical High $9.55 | Professional | 55 · Aftercare only | $7.41 | $8.51 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.62 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.90 | $5.62 | $6.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $562.34 | Facility | None | $93.33 | $194.98 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $186.21 | Professional | None | $75.86 | $120.23 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $676.08 | Facility | None | $158.49 | $234.42 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $158.49 | Professional | None | $97.72 | $125.89 | $158.49 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $537.03 | Facility | None | $138.04 | $223.87 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $154.88 | Professional | None | $95.50 | $123.03 | $154.88 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $147.91 | Facility | None | $81.28 | $97.72 | $147.91 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $346.74 Typical High $426.58 | Professional | None | $97.72 | $346.74 | $426.58 |
United Setting Professional Modifier None Typical Low $64.57 Median $123.03 Typical High $218.78 | Professional | None | $64.57 | $123.03 | $218.78 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $61.66 Median $95.50 Typical High $147.91 | Professional | 25 · Same-day visit | $61.66 | $95.50 | $147.91 |
Where Minnesota sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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
$123
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.