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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | None | $81.28 | $81.28 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $134.90 | Facility | None | $69.18 | $87.10 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $87.10 | Professional | None | $69.18 | $77.62 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $812.83 | Facility | None | $109.65 | $275.42 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $169.82 | Professional | None | $100.00 | $125.89 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $645.65 | Facility | None | $162.18 | $269.15 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | None | $100.00 | $100.00 | $165.96 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $416.87 | Facility | None | $87.10 | $162.18 | $416.87 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $186.21 | Professional | None | $47.86 | $77.62 | $186.21 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Facility | None | $87.10 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $36.31 Median $79.43 Typical High $204.17 | Professional | None | $36.31 | $79.43 | $204.17 |
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 $40.74 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $16.22 | $20.89 |
Where Minnesota sits
The same service costs 4.1 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· 25th of 51
$87.10
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.