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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $169.82 | Professional | None | $100.00 | $109.65 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $1,513.56 | Facility | None | $204.17 | $446.68 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier 52 · Reduced service + 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | 52 · Reduced service + 53 · Discontinued | $87.10 | $117.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $1,071.52 | Facility | None | $251.19 | $380.19 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $363.08 | Professional | None | $162.18 | $204.17 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $851.14 | Facility | None | $223.87 | $354.81 | $851.14 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $331.13 | Professional | None | $162.18 | $162.18 | $331.13 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $251.19 | Facility | None | $134.90 | $181.97 | $251.19 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $660.69 | Professional | None | $128.82 | $204.17 | $660.69 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $338.84 | Professional | None | $120.23 | $194.98 | $338.84 |
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 $54.95 Median $54.95 Typical High $54.95 | Facility | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $21.88 | $32.36 |
Where Minnesota sits
The same service costs 4.4 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· 9th of 51
$191
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.