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 $21.88 Median $25.70 Typical High $30.20 | Facility | None | $21.88 | $25.70 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | None | $21.88 | $25.70 | $36.31 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $109.65 Typical High $223.87 | Facility | None | $52.48 | $109.65 | $223.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $81.28 | Professional | None | $36.31 | $51.29 | $81.28 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $29.51 Median $40.74 Typical High $66.07 | Professional | 25 · Same-day visit | $29.51 | $40.74 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $302.00 | Facility | None | $70.79 | $107.15 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $97.72 | Professional | None | $45.71 | $67.61 | $97.72 |
Health Partners Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $239.88 | Facility | None | $63.10 | $100.00 | $239.88 |
Health Partners Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $89.13 | Professional | None | $48.98 | $61.66 | $89.13 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $52.48 Typical High $63.10 | Facility | None | $30.90 | $52.48 | $63.10 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $89.13 Typical High $194.98 | Professional | None | $37.15 | $89.13 | $194.98 |
United Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $95.50 | Professional | None | $30.90 | $45.71 | $95.50 |
2 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 $14.79 Median $15.14 Typical High $15.14 | Facility | 52 · Reduced service | $14.79 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.79 | $15.14 |
Where Minnesota sits
The same service costs 2.5 times more in Alaska than in New York. 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· 5th of 51
$47.86
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.