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 $53.70 Median $53.70 Typical High $457.09 | Facility | None | $53.70 | $53.70 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | None | $53.70 | $53.70 | $69.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $57.54 Typical High $446.68 | Facility | None | $53.70 | $57.54 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $57.54 | Professional | None | $45.71 | $51.29 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $524.81 | Facility | None | $112.20 | $181.97 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $109.65 | Professional | None | $66.07 | $74.13 | $109.65 |
Health Partners Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $416.87 | Facility | None | $107.15 | $173.78 | $416.87 |
Health Partners Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | None | $64.57 | $64.57 | $109.65 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $446.68 | Facility | None | $69.18 | $104.71 | $446.68 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $63.10 Typical High $288.40 | Professional | None | $28.84 | $63.10 | $288.40 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Facility | None | $57.54 | $57.54 | $69.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $134.90 | Professional | None | $23.99 | $45.71 | $134.90 |
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 $26.92 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $10.72 | $13.80 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$57.54
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.