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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $870.96 | Professional | None | $39.81 | $41.69 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $20.89 Typical High $436.52 | Professional | 52 · Reduced service | $19.95 | $20.89 | $436.52 |
BCBS Minnesota Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $891.25 | Facility | None | $141.25 | $147.91 | $891.25 |
BCBS Minnesota Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $147.91 | Professional | None | $120.23 | $134.90 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $1,288.25 | Professional | None | $165.96 | $204.17 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $218.78 | Facility | None | $60.26 | $77.62 | $218.78 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,096.48 | $2,344.23 | $3,630.78 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,621.81 Typical High $3,019.95 | Professional | None | $691.83 | $1,621.81 | $3,019.95 |
1 more rate 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 Professional Modifier 53 · Discontinued Typical Low $26.30 Median $123.03 Typical High $229.09 | Professional | 53 · Discontinued | $26.30 | $123.03 | $229.09 |
Where Minnesota sits
The same service costs 120.2 times more in North Carolina 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· 44th of 51
$214
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.