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 $194.98 Median $208.93 Typical High $537.03 | Facility | None | $194.98 | $208.93 | $537.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $208.93 | Professional | None | $165.96 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $1,949.84 | Facility | None | $407.38 | $660.69 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $398.11 | Professional | None | $239.88 | $269.15 | $398.11 |
Health Partners Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $1,513.56 | Facility | None | $389.05 | $645.65 | $1,513.56 |
Health Partners Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | None | $239.88 | $239.88 | $371.54 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $416.87 | Facility | None | $251.19 | $331.13 | $416.87 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $1,023.29 | Professional | None | $104.71 | $229.09 | $1,023.29 |
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 $165.96 Typical High $489.78 | Professional | None | $87.10 | $165.96 | $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 $123.03 | Professional | 52 · Reduced service | $97.72 | $97.72 | $123.03 |
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 4.5 times more in Texas than in Delaware. 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· 26th 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.