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 $79.43 Typical High $524.81 | Facility | None | $47.86 | $79.43 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $66.07 Typical High $346.74 | Facility | None | $61.66 | $66.07 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $66.07 | Professional | None | $52.48 | $58.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $616.60 | Facility | None | $128.82 | $208.93 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $125.89 | Professional | None | $75.86 | $85.11 | $125.89 |
Health Partners Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $478.63 | Facility | None | $123.03 | $199.53 | $478.63 |
Health Partners Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $125.89 | Professional | None | $75.86 | $75.86 | $125.89 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $446.68 | Facility | None | $77.62 | $158.49 | $446.68 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $323.59 | Professional | None | $38.90 | $77.62 | $323.59 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Facility | None | $66.07 | $66.07 | $77.62 |
United Setting Professional Modifier None Typical Low $27.54 Median $53.70 Typical High $154.88 | Professional | None | $27.54 | $53.70 | $154.88 |
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 $30.90 Median $30.90 Typical High $30.90 | Facility | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.18 |
Where Minnesota sits
The same service costs 4.8 times more in Kansas than in Illinois. 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· 19th of 51
$75.86
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.