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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $134.90 | Professional | None | $52.48 | $57.54 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $1,949.84 | Facility | None | $478.63 | $891.25 | $1,949.84 |
BCBS Minnesota Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | None | $81.28 | $112.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $549.54 | Facility | None | $120.23 | $190.55 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $239.88 | Professional | None | $69.18 | $107.15 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $436.52 | Facility | None | $112.20 | $186.21 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | None | $83.18 | $83.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $933.25 | Facility | None | $79.43 | $109.65 | $933.25 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $190.55 Typical High $2,884.03 | Professional | None | $74.13 | $190.55 | $2,884.03 |
United Setting Facility Modifier None Typical Low $891.25 Median $954.99 Typical High $1,258.93 | Facility | None | $891.25 | $954.99 | $1,258.93 |
United Setting Professional Modifier None Typical Low $58.88 Median $114.82 Typical High $213.80 | Professional | None | $58.88 | $114.82 | $213.80 |
5 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 $28.18 Median $28.18 Typical High $28.18 | Facility | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.18 Typical High $67.61 | Professional | 52 · Reduced service | $26.30 | $28.18 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $26.92 | Professional | 53 · Discontinued | $10.47 | $11.48 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $100.00 | Professional | FX · Film X-ray | $38.90 | $45.71 | $100.00 |
Where Minnesota sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 18th of 51
$112
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.