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 $93.33 Median $616.60 Typical High $724.44 | Facility | None | $93.33 | $616.60 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $93.33 Typical High $134.90 | Professional | None | $58.88 | $93.33 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $707.95 | Facility | None | $177.83 | $446.68 | $707.95 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | None | $162.18 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $933.25 | Facility | None | $218.78 | $331.13 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $295.12 | Professional | None | $120.23 | $177.83 | $295.12 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $724.44 | Facility | None | $194.98 | $309.03 | $724.44 |
Health Partners Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $281.84 | Professional | None | $141.25 | $141.25 | $281.84 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $446.68 Typical High $1,023.29 | Facility | None | $165.96 | $446.68 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $204.17 Typical High $707.95 | Professional | None | $97.72 | $204.17 | $707.95 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $269.15 | Professional | None | $89.13 | $151.36 | $269.15 |
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 $46.77 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $18.62 | $26.92 |
Where Minnesota sits
The same service costs 4.5 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
$245
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.