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 $173.78 Median $257.04 Typical High $257.04 | Facility | None | $173.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | None | $173.78 | $208.93 | $257.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $562.34 | Facility | None | $131.83 | $245.47 | $562.34 |
BCBS Minnesota Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $676.08 | Professional | None | $245.47 | $426.58 | $676.08 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $194.98 Median $338.84 Typical High $549.54 | Professional | 25 · Same-day visit | $194.98 | $338.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $2,754.23 | Facility | None | $645.65 | $933.25 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $891.25 | Professional | None | $323.59 | $549.54 | $891.25 |
Health Partners Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $2,137.96 | Facility | None | $575.44 | $912.01 | $2,137.96 |
Health Partners Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $794.33 | Professional | None | $316.23 | $501.19 | $794.33 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $524.81 | Facility | None | $223.87 | $363.08 | $524.81 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $707.95 Typical High $1,737.80 | Professional | None | $263.03 | $707.95 | $1,737.80 |
United Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $363.08 | Facility | None | $257.04 | $275.42 | $363.08 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $676.08 | Professional | None | $190.55 | $316.23 | $676.08 |
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 $87.10 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $87.10 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | 52 · Reduced service | $87.10 | $100.00 | $128.82 |
Where Minnesota sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$427
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.