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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $112.20 | Professional | None | $79.43 | $83.18 | $112.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $263.03 | Facility | None | $89.13 | $141.25 | $263.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | None | $72.44 | $81.28 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $549.54 | Facility | None | $120.23 | $186.21 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $77.62 | Professional | None | $27.54 | $61.66 | $77.62 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $436.52 | Facility | None | $112.20 | $181.97 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $61.66 | Professional | None | $26.92 | $52.48 | $61.66 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $154.88 | Facility | None | $33.88 | $77.62 | $154.88 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $186.21 Typical High $602.56 | Professional | None | $75.86 | $186.21 | $602.56 |
United Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $234.42 | Professional | None | $69.18 | $112.20 | $234.42 |
4 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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $41.69 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $16.60 | $22.39 |
Where Minnesota sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 43rd of 51
$81.28
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.