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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None | $70.79 | $70.79 | $107.15 |
BCBS Minnesota Setting Facility Modifier None Typical Low $134.90 Median $288.40 Typical High $3,467.37 | Facility | None | $134.90 | $288.40 | $3,467.37 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $57.54 Median $75.86 Typical High $114.82 | Professional | 52 · Reduced service + 53 · Discontinued | $57.54 | $75.86 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $707.95 | Facility | None | $165.96 | $251.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $239.88 | Professional | None | $107.15 | $134.90 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $549.54 | Facility | None | $147.91 | $234.42 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None | $107.15 | $107.15 | $213.80 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $177.83 | Facility | None | $97.72 | $120.23 | $177.83 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $1,412.54 | Professional | None | $87.10 | $144.54 | $1,412.54 |
United Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $229.09 | Professional | None | $85.11 | $138.04 | $229.09 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | 52 · Reduced service | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $21.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $21.38 |
Where Minnesota sits
The same service costs 4.2 times more in Alaska 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· 8th of 51
$132
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.