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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | None | $56.23 | $56.23 | $72.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $60.26 Typical High $109.65 | Facility | None | $53.70 | $60.26 | $109.65 |
BCBS Minnesota Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $60.26 | Professional | None | $47.86 | $53.70 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $190.55 Typical High $562.34 | Facility | None | $72.44 | $190.55 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | None | $69.18 | $87.10 | $117.49 |
Health Partners Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $436.52 | Facility | None | $112.20 | $186.21 | $436.52 |
Health Partners Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | None | $69.18 | $69.18 | $114.82 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $95.50 Typical High $281.84 | Facility | None | $33.88 | $95.50 | $281.84 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $36.31 Typical High $128.82 | Professional | None | $11.75 | $36.31 | $128.82 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Facility | None | $60.26 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $11.75 Median $36.31 Typical High $141.25 | Professional | None | $11.75 | $36.31 | $141.25 |
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 $28.18 Median $28.18 Typical High $28.18 | Facility | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 53 · Discontinued | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $28.18 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $11.22 | $11.22 | $14.45 |
Where Minnesota sits
The same service costs 8.7 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· 15th of 51
$60.26
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.