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 $81.28 Median $120.23 Typical High $120.23 | Facility | None | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $120.23 | Professional | None | $81.28 | $104.71 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $870.96 | Facility | None | $144.54 | $302.00 | $870.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $302.00 | Professional | None | $114.82 | $199.53 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $1,174.90 | Facility | None | $275.42 | $407.38 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $389.05 | Professional | None | $138.04 | $239.88 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $933.25 | Facility | None | $251.19 | $398.11 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $346.74 | Professional | None | $138.04 | $213.80 | $346.74 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $229.09 | Facility | None | $100.00 | $154.88 | $229.09 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $741.31 | Professional | None | $131.83 | $275.42 | $741.31 |
United Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $309.03 | Professional | None | $93.33 | $158.49 | $309.03 |
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 $40.74 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $40.74 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.30 Median $18.20 Typical High $18.20 | Facility | 55 · Aftercare only | $12.30 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.02 Typical High $12.02 | Facility | 56 · Pre-op care only | $8.13 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $45.71 Typical High $60.26 | Professional | 52 · Reduced service | $40.74 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.80 Typical High $18.20 | Professional | 55 · Aftercare only | $12.30 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.13 | $9.12 | $12.02 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | 25 · Same-day visit | $213.80 | $288.40 | $363.08 |
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
$191
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.