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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $81.28 | Professional | None | $63.10 | $63.10 | $81.28 |
BCBS Minnesota Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $134.90 | Facility | None | $60.26 | $67.61 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $67.61 | Professional | None | $53.70 | $60.26 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $630.96 | Facility | None | $87.10 | $213.80 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $128.82 | Professional | None | $77.62 | $97.72 | $128.82 |
Health Partners Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $489.78 | Facility | None | $125.89 | $208.93 | $489.78 |
Health Partners Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | None | $77.62 | $77.62 | $128.82 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $123.03 Typical High $316.23 | Facility | None | $67.61 | $123.03 | $316.23 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $144.54 | Professional | None | $37.15 | $60.26 | $144.54 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Facility | None | $67.61 | $67.61 | $81.28 |
United Setting Professional Modifier None Typical Low $28.18 Median $61.66 Typical High $158.49 | Professional | None | $28.18 | $61.66 | $158.49 |
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 $31.62 Median $31.62 Typical High $31.62 | Facility | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $12.59 | $12.59 | $16.22 |
Where Minnesota sits
The same service costs 3.3 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· 25th of 51
$67.61
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.