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 $23.44 Median $38.90 Typical High $38.90 | Facility | None | $23.44 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $38.90 | Professional | None | $23.44 | $32.36 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $40.74 Median $87.10 Typical High $245.47 | Facility | None | $40.74 | $87.10 | $245.47 |
BCBS Minnesota Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $91.20 | Professional | None | $29.51 | $54.95 | $91.20 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $23.99 Median $43.65 Typical High $72.44 | Professional | 25 · Same-day visit | $23.99 | $43.65 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $134.90 Typical High $389.05 | Facility | None | $91.20 | $134.90 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $125.89 | Professional | None | $38.90 | $70.79 | $125.89 |
Health Partners Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $302.00 | Facility | None | $79.43 | $128.82 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $112.20 | Professional | None | $38.90 | $67.61 | $112.20 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $74.13 | Facility | None | $32.36 | $48.98 | $74.13 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $109.65 Typical High $245.47 | Professional | None | $40.74 | $109.65 | $245.47 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $69.18 Median $117.49 Typical High $144.54 | Professional | 25 · Same-day visit | $69.18 | $117.49 | $144.54 |
United Setting Professional Modifier None Typical Low $26.30 Median $45.71 Typical High $100.00 | Professional | None | $26.30 | $45.71 | $100.00 |
6 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 $11.48 Median $19.50 Typical High $19.50 | Facility | 52 · Reduced service | $11.48 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.47 Median $5.89 Typical High $5.89 | Facility | 55 · Aftercare only | $3.47 | $5.89 | $5.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.89 Typical High $3.89 | Facility | 56 · Pre-op care only | $2.29 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $14.13 Typical High $19.50 | Professional | 52 · Reduced service | $11.48 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.27 Typical High $5.89 | Professional | 55 · Aftercare only | $3.47 | $4.27 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.82 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.29 | $2.82 | $3.89 |
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
$56.23
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.