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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | None | $162.18 | $162.18 | $208.93 |
BCBS Minnesota Setting Facility Modifier None Typical Low $165.96 Median $173.78 Typical High $416.87 | Facility | None | $165.96 | $173.78 | $416.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $173.78 | Professional | None | $138.04 | $154.88 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,621.81 | Facility | None | $338.84 | $549.54 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $338.84 | Professional | None | $199.53 | $223.87 | $338.84 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $1,258.93 | Facility | None | $323.59 | $537.03 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $331.13 | Professional | None | $199.53 | $199.53 | $331.13 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $416.87 | Facility | None | $208.93 | $275.42 | $416.87 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $870.96 | Professional | None | $104.71 | $194.98 | $870.96 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $208.93 | Facility | None | $173.78 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $407.38 | Professional | None | $72.44 | $138.04 | $407.38 |
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 $81.28 Median $81.28 Typical High $81.28 | Facility | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $32.36 | $41.69 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$174
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.