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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $194.98 | Professional | None | $151.36 | $151.36 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $162.18 | Facility | None | $69.18 | $162.18 | $162.18 |
BCBS Minnesota Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $162.18 | Professional | None | $128.82 | $144.54 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $1,513.56 | Facility | None | $194.98 | $512.86 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $316.23 | Professional | None | $186.21 | $234.42 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,202.26 | Facility | None | $302.00 | $501.19 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $309.03 | Professional | None | $186.21 | $186.21 | $309.03 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $776.25 | Facility | None | $162.18 | $257.04 | $776.25 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $346.74 | Professional | None | $50.12 | $109.65 | $346.74 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $194.98 | Facility | None | $162.18 | $162.18 | $194.98 |
United Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $380.19 | Professional | None | $50.12 | $109.65 | $380.19 |
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 $75.86 Median $75.86 Typical High $75.86 | Facility | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $38.90 |
Where Minnesota sits
The same service costs 7.6 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· 13th of 51
$162
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.