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 $15.14 Median $128.82 Typical High $194.98 | Facility | None | $15.14 | $128.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | None | $128.82 | $158.49 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $467.74 Typical High $954.99 | Facility | None | $173.78 | $467.74 | $954.99 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $446.68 | Professional | None | $134.90 | $245.47 | $446.68 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $107.15 Median $194.98 Typical High $354.81 | Professional | 25 · Same-day visit | $107.15 | $194.98 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $2,089.30 | Facility | None | $457.09 | $707.95 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $478.63 | Professional | None | $251.19 | $380.19 | $478.63 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,621.81 | Facility | None | $416.87 | $691.83 | $1,621.81 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $398.11 | Professional | None | $251.19 | $380.19 | $398.11 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $426.58 | Facility | None | $208.93 | $309.03 | $426.58 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $891.25 Typical High $1,288.25 | Professional | None | $239.88 | $891.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $575.44 | Professional | None | $141.25 | $288.40 | $575.44 |
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 $63.10 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $63.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $63.10 | $77.62 | $97.72 |
Where Minnesota sits
The same service costs 2.8 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· 3rd of 51
$251
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.