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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | None | $281.84 | $281.84 | $363.08 |
BCBS Minnesota Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $724.44 | Facility | None | $281.84 | $302.00 | $724.44 |
BCBS Minnesota Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $302.00 | Professional | None | $239.88 | $269.15 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $2,818.38 | Facility | None | $588.84 | $954.99 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $575.44 | Professional | None | $346.74 | $389.05 | $575.44 |
Health Partners Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $2,187.76 | Facility | None | $562.34 | $933.25 | $2,187.76 |
Health Partners Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $575.44 | Professional | None | $346.74 | $346.74 | $575.44 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $741.31 | Facility | None | $363.08 | $549.54 | $741.31 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $1,513.56 | Professional | None | $169.82 | $331.13 | $1,513.56 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Facility | None | $302.00 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $707.95 | Professional | None | $125.89 | $239.88 | $707.95 |
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 $141.25 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $56.23 | $72.44 |
Where Minnesota sits
The same service costs 3.9 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· 25th of 51
$302
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.