Minnesota · G0108

Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes in Minnesota

Minnesota Medicare Avg
$38.80
3% below national avg
National Medicare Avg
$39.96
All states combined
Billed Charge (MN)
$190.80
What providers submit
Est. Commercial (MN)
$116.77
National avg: $121.83
Est. Cash / Self-Pay (MN)
$92.64
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

12.6K
Services in MN
390
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Minnesota

Provider Medicare Services
Khan, Farha MD $37.37 214
Lyerla, Ryan MD $40.01 203
Adams, Carlos MD $38.90 126
Holm, Mark MD $37.82 100
Schempf, John $38.70 88
Pillote, Katherine MD $40.96 75
Dotson, Shelley M.D. $39.04 71
Goel, Heenam M.B.B.S. $34.27 67
Dahlstrom, Peter M.D. $41.27 67
Martin, Christopher MD $41.96 64
Benedict, Luke MD $42.29 52
Prabhakaran, Sapna M.D $37.03 45
Rosenberg, Anne MD $42.17 41
Wycoff, Kevin MD $42.28 39
Schoonover, Christopher M.D. $41.87 36
Katz, Harold MD $43.31 34
Abid, Irfaan DO $35.64 30

Minnesota Pricing in Context

In Minnesota, CPT code G0108 (Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes) carries an average Medicare payment of $38.80 — 3% below the national benchmark of $39.96. 390 providers across the state submitted claims for this procedure in 2023, performing 12.6K total services. Individual payments in MN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Minnesota is $190.80, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Minnesota sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Minnesota lands near $116.77, with self-pay cash prices typically around $92.64. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes cost in Minnesota?

The average Medicare payment for Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes in Minnesota is $38.80, which is 3% below the national average of $39.96. Providers in MN typically bill $190.80 for this procedure.

What does Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes cost with insurance in Minnesota?

With commercial insurance in Minnesota, Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes costs an estimated $116.77. Without insurance, the estimated cash price is $92.64. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes in Minnesota?

390 providers in Minnesota billed Medicare for Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes in 2023, performing 12.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes cheaper in Minnesota than the national average?

Yes — Diabetes Outpatient Self-Management Training Services, Individual, Per 30 Minutes costs 3% below the national average in Minnesota. The state average Medicare payment is $38.80 compared to $39.96 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial