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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | None | $77.62 | $77.62 | $100.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $79.43 Median $83.18 Typical High $446.68 | Facility | None | $79.43 | $83.18 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | None | $66.07 | $74.13 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $776.25 | Facility | None | $165.96 | $263.03 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $162.18 | Professional | None | $95.50 | $109.65 | $162.18 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $616.60 | Facility | None | $154.88 | $257.04 | $616.60 |
Health Partners Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | None | $95.50 | $95.50 | $158.49 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $165.96 | Facility | None | $100.00 | $131.83 | $165.96 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $416.87 | Professional | None | $42.66 | $87.10 | $416.87 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | None | $83.18 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $194.98 | Professional | None | $34.67 | $66.07 | $194.98 |
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 $38.90 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $15.49 | $19.95 |
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
$83.18
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.