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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None | $95.50 | $95.50 | $123.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $97.72 Median $102.33 Typical High $446.68 | Facility | None | $97.72 | $102.33 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $102.33 | Professional | None | $81.28 | $91.20 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $954.99 | Facility | None | $204.17 | $323.59 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $199.53 | Professional | None | $117.49 | $134.90 | $199.53 |
Health Partners Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $758.58 | Facility | None | $190.55 | $316.23 | $758.58 |
Health Partners Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | None | $117.49 | $117.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $204.17 | Facility | None | $123.03 | $162.18 | $204.17 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $114.82 Typical High $512.86 | Professional | None | $52.48 | $114.82 | $512.86 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $239.88 | Professional | None | $42.66 | $81.28 | $239.88 |
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 $47.86 Median $47.86 Typical High $47.86 | Facility | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 53 · Discontinued | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $19.05 | $24.55 |
Where Minnesota sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 32nd of 51
$102
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.