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 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 None Typical Low $77.62 Median $87.10 Typical High $95.50 | Professional | None | $77.62 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.88 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.71 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.76 | $8.71 | $9.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $870.96 | Facility | None | $147.91 | $309.03 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $288.40 | Professional | None | $120.23 | $186.21 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $1,023.29 | Facility | None | $223.87 | $346.74 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $245.47 | Professional | None | $154.88 | $194.98 | $245.47 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $794.33 | Facility | None | $204.17 | $331.13 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $245.47 | Professional | None | $151.36 | $186.21 | $245.47 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $537.03 Typical High $630.96 | Professional | None | $144.54 | $537.03 | $630.96 |
United Setting Professional Modifier None Typical Low $100.00 Median $186.21 Typical High $331.13 | Professional | None | $100.00 | $186.21 | $331.13 |
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 $95.50 Median $151.36 Typical High $229.09 | Professional | 25 · Same-day visit | $95.50 | $151.36 | $229.09 |
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
$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.