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 $81.28 Median $125.89 Typical High $158.49 | Facility | None | $81.28 | $125.89 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $125.89 | Professional | None | $81.28 | $91.20 | $125.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $630.96 | Facility | None | $213.80 | $380.19 | $630.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $288.40 | Professional | None | $87.10 | $158.49 | $288.40 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $128.82 Typical High $234.42 | Professional | 25 · Same-day visit | $70.79 | $128.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $1,380.38 | Facility | None | $316.23 | $478.63 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | None | $251.19 | $316.23 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $275.42 Median $457.09 Typical High $1,071.52 | Facility | None | $275.42 | $457.09 | $1,071.52 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $371.54 | Professional | None | $251.19 | $251.19 | $371.54 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $407.38 | Facility | None | $138.04 | $199.53 | $407.38 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $575.44 Typical High $831.76 | Professional | None | $131.83 | $575.44 | $831.76 |
United Setting Facility Modifier None Typical Low $446.68 Median $478.63 Typical High $630.96 | Facility | None | $446.68 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $288.40 | Professional | None | $72.44 | $144.54 | $288.40 |
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 $40.74 Median $63.10 Typical High $63.10 | Facility | 52 · Reduced service | $40.74 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $44.67 Typical High $63.10 | Professional | 52 · Reduced service | $40.74 | $44.67 | $63.10 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$158
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.