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 $69.18 Median $75.86 Typical High $75.86 | Facility | None | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $89.13 | Professional | None | $64.57 | $74.13 | $89.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $676.08 | Facility | None | $131.83 | $331.13 | $676.08 |
BCBS Minnesota Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $213.80 | Professional | None | $91.20 | $131.83 | $213.80 |
BCBS Minnesota Setting Professional Modifier 25 · Same-day visit Typical Low $72.44 Median $107.15 Typical High $169.82 | Professional | 25 · Same-day visit | $72.44 | $107.15 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $812.83 | Facility | None | $190.55 | $281.84 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $263.03 | Professional | None | $125.89 | $181.97 | $263.03 |
Health Partners Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $630.96 | Facility | None | $169.82 | $269.15 | $630.96 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | None | $123.03 | $154.88 | $239.88 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $223.87 | Facility | None | $77.62 | $131.83 | $223.87 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $229.09 Typical High $524.81 | Professional | None | $89.13 | $229.09 | $524.81 |
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 $74.13 Median $120.23 Typical High $239.88 | Professional | None | $74.13 | $120.23 | $239.88 |
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 $34.67 Median $38.02 Typical High $38.02 | Facility | 52 · Reduced service | $34.67 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $34.67 | $38.02 |
Where Minnesota sits
The same service costs 2.8 times more in Alaska than in New York. 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· 4th of 51
$141
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.