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 $16.60 Median $158.49 Typical High $208.93 | Facility | None | $16.60 | $158.49 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.31 | Facility | 53 · Discontinued | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $22.39 | Professional | None | $11.48 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.68 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.68 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.38 Median $199.53 Typical High $467.74 | Facility | None | $1.38 | $199.53 | $467.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1.17 Median $34.67 Typical High $47.86 | Professional | None | $1.17 | $34.67 | $47.86 |
BCBS Minnesota Setting Professional Modifier 53 · Discontinued Typical Low $0.55 Median $16.60 Typical High $26.92 | Professional | 53 · Discontinued | $0.55 | $16.60 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $165.96 | Facility | None | $38.02 | $57.54 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $56.23 | Professional | None | $25.12 | $31.62 | $56.23 |
Health Partners Setting Facility Modifier None Typical Low $34.67 Median $54.95 Typical High $128.82 | Facility | None | $34.67 | $54.95 | $128.82 |
Health Partners Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | None | $25.12 | $25.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $63.10 Typical High $263.03 | Facility | None | $23.99 | $63.10 | $263.03 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $26.30 Typical High $331.13 | Professional | None | $14.45 | $26.30 | $331.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $40.74 | Professional | None | $13.80 | $21.88 | $40.74 |
2 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 $8.32 Median $8.32 Typical High $8.32 | Facility | 52 · Reduced service | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | 52 · Reduced service | $8.32 | $8.32 | $11.75 |
Where Minnesota sits
The same service costs 5.5 times more in Alaska than in Florida. 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· 5th of 51
$30.90
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.