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 $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $446.68 | Facility | None | $54.95 | $58.88 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | None | $46.77 | $52.48 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $549.54 | Facility | None | $114.82 | $186.21 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $114.82 | Professional | None | $67.61 | $75.86 | $114.82 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $426.58 | Facility | None | $109.65 | $181.97 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | None | $67.61 | $67.61 | $112.20 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $117.49 | Facility | None | $70.79 | $93.33 | $117.49 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $64.57 Typical High $295.12 | Professional | None | $29.51 | $64.57 | $295.12 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Facility | None | $58.88 | $58.88 | $70.79 |
United Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $138.04 | Professional | None | $24.55 | $46.77 | $138.04 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $10.96 | $14.13 |
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· 27th of 51
$58.88
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.