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 $35.48 Median $52.48 Typical High $52.48 | Facility | None | $35.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $52.48 | Professional | None | $35.48 | $38.02 | $52.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $141.25 | Facility | None | $58.88 | $64.57 | $141.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $109.65 | Professional | None | $34.67 | $60.26 | $109.65 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $27.54 Median $47.86 Typical High $89.13 | Professional | 25 · Same-day visit | $27.54 | $47.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $524.81 | Facility | None | $123.03 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | None | $97.72 | $123.03 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $416.87 | Facility | None | $104.71 | $173.78 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | None | $95.50 | $95.50 | $144.54 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $120.23 | Facility | None | $52.48 | $72.44 | $120.23 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $218.78 Typical High $302.00 | Professional | None | $69.18 | $218.78 | $302.00 |
United Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $154.88 | Professional | None | $42.66 | $83.18 | $154.88 |
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 $17.78 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $17.78 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.62 Typical High $26.30 | Professional | 52 · Reduced service | $17.78 | $18.62 | $26.30 |
Where Minnesota sits
The same service costs 4.1 times more in Alaska than in Indiana. 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
$63.10
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.