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 $70.79 Median $85.11 Typical High $85.11 | Facility | None | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $87.10 | Professional | None | $70.79 | $75.86 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $123.03 Median $257.04 Typical High $741.31 | Facility | None | $123.03 | $257.04 | $741.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $213.80 | Professional | None | $85.11 | $134.90 | $213.80 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $69.18 Median $107.15 Typical High $169.82 | Professional | 25 · Same-day visit | $69.18 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $851.14 | Facility | None | $199.53 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $275.42 | Professional | None | $117.49 | $181.97 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $676.08 | Facility | None | $177.83 | $281.84 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $251.19 | Professional | None | $117.49 | $154.88 | $251.19 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $177.83 | Facility | None | $81.28 | $134.90 | $177.83 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $245.47 Typical High $549.54 | Professional | None | $95.50 | $245.47 | $549.54 |
United Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $245.47 | Professional | None | $77.62 | $120.23 | $245.47 |
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 $35.48 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $35.48 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $12.88 Typical High $12.88 | Facility | 55 · Aftercare only | $10.47 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.51 Typical High $8.51 | Facility | 56 · Pre-op care only | $7.08 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.22 Typical High $12.88 | Professional | 55 · Aftercare only | $10.47 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.41 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.08 | $7.41 | $8.51 |
Where Minnesota sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 3rd of 51
$141
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.