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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | None | $47.86 | $47.86 | $61.66 |
BCBS Minnesota Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $446.68 | Facility | None | $48.98 | $51.29 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $51.29 | Professional | None | $40.74 | $46.77 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $478.63 | Facility | None | $102.33 | $165.96 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $100.00 | Professional | None | $60.26 | $67.61 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $380.19 | Facility | None | $97.72 | $158.49 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | None | $58.88 | $58.88 | $97.72 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $102.33 | Facility | None | $61.66 | $81.28 | $102.33 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $57.54 Typical High $257.04 | Professional | None | $26.30 | $57.54 | $257.04 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | None | $51.29 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $40.74 Typical High $120.23 | Professional | None | $21.38 | $40.74 | $120.23 |
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 $23.99 Median $23.99 Typical High $23.99 | Facility | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | 52 · Reduced service | $23.99 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $9.77 | $12.30 |
Where Minnesota sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 36th of 51
$51.29
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.