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 $54.95 Median $114.82 Typical High $660.69 | Facility | None | $54.95 | $114.82 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | None | $114.82 | $114.82 | $144.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $331.13 | Facility | None | $114.82 | $123.03 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | None | $97.72 | $109.65 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $1,122.02 | Facility | None | $239.88 | $389.05 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | None | $141.25 | $158.49 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $891.25 | Facility | None | $229.09 | $371.54 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | None | $138.04 | $138.04 | $234.42 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $234.42 Typical High $537.03 | Facility | None | $81.28 | $234.42 | $537.03 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $134.90 Typical High $602.56 | Professional | None | $72.44 | $134.90 | $602.56 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Facility | None | $123.03 | $123.03 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $288.40 | Professional | None | $51.29 | $100.00 | $288.40 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $22.91 | $29.51 |
Where Minnesota sits
The same service costs 4.4 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· 28th of 51
$123
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.