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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $63.10 | Professional | None | $53.70 | $57.54 | $63.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $302.00 | Facility | None | $109.65 | $144.54 | $302.00 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $186.21 | Professional | None | $85.11 | $109.65 | $186.21 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $67.61 Median $89.13 Typical High $147.91 | Professional | 25 · Same-day visit | $67.61 | $89.13 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $616.60 | Facility | None | $144.54 | $218.78 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $204.17 | Professional | None | $97.72 | $181.97 | $204.17 |
Health Partners Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $489.78 | Facility | None | $128.82 | $204.17 | $489.78 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $190.55 | Professional | None | $104.71 | $181.97 | $190.55 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $131.83 | Facility | None | $87.10 | $109.65 | $131.83 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $407.38 | Professional | None | $72.44 | $158.49 | $407.38 |
United Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $208.93 | Professional | None | $67.61 | $117.49 | $208.93 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $28.84 | $31.62 |
Where Minnesota sits
The same service costs 2.8 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
$129
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.