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 $75.86 Median $416.87 Typical High $724.44 | Facility | None | $75.86 | $416.87 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | None | $87.10 | $87.10 | $109.65 |
BCBS Minnesota Setting Facility Modifier None Typical Low $87.10 Median $91.20 Typical High $346.74 | Facility | None | $87.10 | $91.20 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $91.20 | Professional | None | $74.13 | $83.18 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $851.14 | Facility | None | $181.97 | $295.12 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $177.83 | Professional | None | $107.15 | $120.23 | $177.83 |
Health Partners Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $676.08 | Facility | None | $173.78 | $281.84 | $676.08 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $173.78 | Professional | None | $104.71 | $104.71 | $173.78 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $229.09 Typical High $575.44 | Facility | None | $72.44 | $229.09 | $575.44 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $457.09 | Professional | None | $54.95 | $109.65 | $457.09 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Facility | None | $91.20 | $91.20 | $109.65 |
United Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $213.80 | Professional | None | $38.90 | $75.86 | $213.80 |
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 $42.66 Median $42.66 Typical High $42.66 | Facility | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.78 |
Where Minnesota sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 16th of 51
$105
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.