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 $72.44 Median $112.20 Typical High $112.20 | Facility | None | $72.44 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $112.20 | Professional | None | $70.79 | $95.50 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $758.58 | Facility | None | $125.89 | $269.15 | $758.58 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $275.42 | Professional | None | $102.33 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $1,096.48 | Facility | None | $257.04 | $371.54 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $354.81 | Professional | None | $120.23 | $208.93 | $354.81 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $870.96 | Facility | None | $229.09 | $363.08 | $870.96 |
Health Partners Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $323.59 | Professional | None | $120.23 | $194.98 | $323.59 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $208.93 | Facility | None | $89.13 | $144.54 | $208.93 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $281.84 Typical High $691.83 | Professional | None | $120.23 | $281.84 | $691.83 |
United Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $281.84 | Professional | None | $79.43 | $138.04 | $281.84 |
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 $36.31 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $36.31 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.96 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $10.96 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.96 Typical High $10.96 | Facility | 56 · Pre-op care only | $7.24 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $41.69 Typical High $54.95 | Professional | 52 · Reduced service | $36.31 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $16.60 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $10.96 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $190.55 Median $257.04 Typical High $331.13 | Professional | 25 · Same-day visit | $190.55 | $257.04 | $331.13 |
Where Minnesota sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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
$178
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.