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 $114.82 Typical High $114.82 | Facility | None | $77.62 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $117.49 | Professional | None | $77.62 | $102.33 | $117.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $288.40 Typical High $812.83 | Facility | None | $134.90 | $288.40 | $812.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $190.55 Typical High $288.40 | Professional | None | $109.65 | $190.55 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $1,148.15 | Facility | None | $269.15 | $389.05 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $371.54 | Professional | None | $128.82 | $223.87 | $371.54 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $891.25 | Facility | None | $239.88 | $380.19 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $338.84 | Professional | None | $128.82 | $204.17 | $338.84 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $218.78 | Facility | None | $100.00 | $154.88 | $218.78 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $309.03 Typical High $707.95 | Professional | None | $123.03 | $309.03 | $707.95 |
United Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $302.00 | Professional | None | $85.11 | $144.54 | $302.00 |
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 $38.90 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $38.90 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.48 Median $17.38 Typical High $17.38 | Facility | 55 · Aftercare only | $11.48 | $17.38 | $17.38 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.76 Median $11.48 Typical High $11.48 | Facility | 56 · Pre-op care only | $7.76 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $43.65 Typical High $57.54 | Professional | 52 · Reduced service | $38.90 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.18 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.91 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.76 | $8.91 | $11.48 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $199.53 Median $281.84 Typical High $346.74 | Professional | 25 · Same-day visit | $199.53 | $281.84 | $346.74 |
Where Minnesota sits
The same service costs 2.8 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
$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.