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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | None | $229.09 | $229.09 | $288.40 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $660.69 | Facility | None | $229.09 | $239.88 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | None | $194.98 | $218.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $2,238.72 | Facility | None | $478.63 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $467.74 | Professional | None | $281.84 | $316.23 | $467.74 |
Health Partners Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,778.28 | Facility | None | $457.09 | $741.31 | $1,778.28 |
Health Partners Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | None | $275.42 | $275.42 | $467.74 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $575.44 | Facility | None | $288.40 | $380.19 | $575.44 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $1,202.26 | Professional | None | $144.54 | $269.15 | $1,202.26 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Facility | None | $239.88 | $239.88 | $288.40 |
United Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $562.34 | Professional | None | $102.33 | $199.53 | $562.34 |
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 $114.82 Median $114.82 Typical High $114.82 | Facility | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $45.71 | $57.54 |
Where Minnesota sits
The same service costs 4.3 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· 27th of 51
$240
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.