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 $66.07 Median $70.79 Typical High $104.71 | Professional | None | $66.07 | $70.79 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $41.69 Median $74.13 Typical High $85.11 | Facility | None | $41.69 | $74.13 | $85.11 |
BCBS Minnesota Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $74.13 | Professional | None | $60.26 | $67.61 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $239.88 Typical High $691.83 | Facility | None | $93.33 | $239.88 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $144.54 | Professional | None | $87.10 | $109.65 | $144.54 |
Health Partners Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $549.54 | Facility | None | $141.25 | $234.42 | $549.54 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | None | $85.11 | $85.11 | $144.54 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $354.81 | Facility | None | $74.13 | $138.04 | $354.81 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $169.82 | Professional | None | $40.74 | $67.61 | $169.82 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Facility | None | $74.13 | $74.13 | $89.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $70.79 Typical High $173.78 | Professional | None | $31.62 | $70.79 | $173.78 |
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 $44.67 | Professional | 52 · Reduced service | $35.48 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.78 |
Where Minnesota sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 26th of 51
$74.13
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.