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 $181.97 Median $380.19 Typical High $977.24 | Facility | None | $181.97 | $380.19 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | None | $181.97 | $181.97 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $181.97 Median $194.98 Typical High $467.74 | Facility | None | $181.97 | $194.98 | $467.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | None | $154.88 | $173.78 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,819.70 | Facility | None | $380.19 | $616.60 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $371.54 | Professional | None | $223.87 | $251.19 | $371.54 |
Health Partners Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,412.54 | Facility | None | $363.08 | $588.84 | $1,412.54 |
Health Partners Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $371.54 | Professional | None | $223.87 | $223.87 | $371.54 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $398.11 | Facility | None | $234.42 | $354.81 | $398.11 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $977.24 | Professional | None | $102.33 | $199.53 | $977.24 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $234.42 | Facility | None | $194.98 | $194.98 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $457.09 | Professional | None | $81.28 | $154.88 | $457.09 |
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 $91.20 Median $91.20 Typical High $91.20 | Facility | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | 53 · Discontinued | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $36.31 | $46.77 |
Where Minnesota sits
The same service costs 3.7 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· 15th of 51
$214
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.