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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | None | $120.23 | $120.23 | $154.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $147.91 | Facility | None | $69.18 | $128.82 | $147.91 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $128.82 | Professional | None | $102.33 | $117.49 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $407.38 Typical High $1,202.26 | Facility | None | $154.88 | $407.38 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $251.19 | Professional | None | $151.36 | $190.55 | $251.19 |
Health Partners Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $954.99 | Facility | None | $245.47 | $407.38 | $954.99 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $245.47 | Professional | None | $147.91 | $147.91 | $245.47 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $616.60 | Facility | None | $128.82 | $204.17 | $616.60 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $275.42 | Professional | None | $54.95 | $109.65 | $275.42 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Facility | None | $128.82 | $128.82 | $154.88 |
United Setting Professional Modifier None Typical Low $53.70 Median $117.49 Typical High $302.00 | Professional | None | $53.70 | $117.49 | $302.00 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $24.55 | $30.90 |
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· 17th of 51
$129
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.