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 $112.20 Median $151.36 Typical High $151.36 | Facility | None | $112.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $154.88 | Professional | None | $109.65 | $131.83 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $1,174.90 | Facility | None | $199.53 | $416.87 | $1,174.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $158.49 Median $257.04 Typical High $389.05 | Professional | None | $158.49 | $257.04 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $1,479.11 | Facility | None | $346.74 | $512.86 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $489.78 | Professional | None | $181.97 | $316.23 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $316.23 Median $501.19 Typical High $1,174.90 | Facility | None | $316.23 | $501.19 | $1,174.90 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $436.52 | Professional | None | $186.21 | $263.03 | $436.52 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $338.84 | Facility | None | $123.03 | $204.17 | $338.84 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $363.08 Typical High $954.99 | Professional | None | $165.96 | $363.08 | $954.99 |
United Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $398.11 | Professional | None | $125.89 | $199.53 | $398.11 |
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 $56.23 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $56.23 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.98 Median $22.39 Typical High $22.39 | Facility | 55 · Aftercare only | $16.98 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $15.14 Typical High $15.14 | Facility | 56 · Pre-op care only | $11.22 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $56.23 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $22.39 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.22 | $12.02 | $15.14 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $281.84 Median $380.19 Typical High $457.09 | Professional | 25 · Same-day visit | $281.84 | $380.19 | $457.09 |
Where Minnesota sits
The same service costs 2.7 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
$251
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.