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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | None | $97.72 | $97.72 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $134.90 | Facility | None | $69.18 | $102.33 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | None | $83.18 | $93.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $323.59 Typical High $954.99 | Facility | None | $131.83 | $323.59 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $199.53 | Professional | None | $120.23 | $151.36 | $199.53 |
Health Partners Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $758.58 | Facility | None | $194.98 | $323.59 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | None | $117.49 | $117.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $190.55 Typical High $489.78 | Facility | None | $102.33 | $190.55 | $489.78 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $218.78 | Professional | None | $56.23 | $93.33 | $218.78 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $239.88 | Professional | None | $43.65 | $95.50 | $239.88 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $19.50 | $19.50 | $24.55 |
Where Minnesota sits
The same service costs 5.1 times more in Kansas 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· 23rd of 51
$102
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.