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 $69.18 Median $165.96 Typical High $616.60 | Facility | None | $69.18 | $165.96 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None | $154.88 | $154.88 | $194.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $446.68 | Facility | None | $125.89 | $131.83 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | None | $107.15 | $120.23 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $1,513.56 | Facility | None | $323.59 | $524.81 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $316.23 | Professional | None | $190.55 | $213.80 | $316.23 |
Health Partners Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $1,202.26 | Facility | None | $309.03 | $501.19 | $1,202.26 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $316.23 | Professional | None | $186.21 | $186.21 | $316.23 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $501.19 | Facility | None | $154.88 | $302.00 | $501.19 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $812.83 | Professional | None | $97.72 | $194.98 | $812.83 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $194.98 | Facility | None | $162.18 | $162.18 | $194.98 |
United Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $380.19 | Professional | None | $69.18 | $134.90 | $380.19 |
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 $77.62 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $30.90 | $31.62 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 22nd of 51
$166
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.