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 $66.07 Median $141.25 Typical High $2,570.40 | Facility | None | $66.07 | $141.25 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $134.90 | Professional | None | $66.07 | $102.33 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $3,311.31 | Facility | None | $588.84 | $1,548.82 | $3,311.31 |
BCBS Minnesota Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $331.13 | Professional | None | $131.83 | $213.80 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $562.34 | Facility | None | $186.21 | $288.40 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $489.78 | Professional | None | $165.96 | $275.42 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $467.74 | Facility | None | $165.96 | $269.15 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $457.09 | Professional | None | $144.54 | $251.19 | $457.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $645.65 Typical High $2,570.40 | Facility | None | $144.54 | $645.65 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $309.03 Typical High $575.44 | Professional | None | $154.88 | $309.03 | $575.44 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $436.52 | Professional | None | $107.15 | $213.80 | $436.52 |
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 $33.11 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $33.11 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $13.18 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $33.11 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $13.18 | $20.42 | $22.39 |
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
$229
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.