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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | None | $194.98 | $194.98 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $41.69 Median $204.17 Typical High $208.93 | Facility | None | $41.69 | $204.17 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $208.93 | Professional | None | $165.96 | $190.55 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $660.69 Typical High $1,949.84 | Facility | None | $251.19 | $660.69 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $407.38 | Professional | None | $245.47 | $302.00 | $407.38 |
Health Partners Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,548.82 | Facility | None | $398.11 | $645.65 | $1,548.82 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $398.11 | Professional | None | $239.88 | $239.88 | $398.11 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $1,000.00 | Facility | None | $208.93 | $331.13 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $446.68 | Professional | None | $93.33 | $186.21 | $446.68 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Facility | None | $208.93 | $208.93 | $251.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $190.55 Typical High $489.78 | Professional | None | $87.10 | $190.55 | $489.78 |
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 $97.72 Median $97.72 Typical High $97.72 | Facility | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $38.90 | $50.12 |
Where Minnesota sits
The same service costs 6.0 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· 20th of 51
$209
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.