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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None | $69.18 | $69.18 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $74.13 Typical High $177.83 | Facility | None | $69.18 | $74.13 | $177.83 |
BCBS Minnesota Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $74.13 | Professional | None | $58.88 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $691.83 | Facility | None | $144.54 | $234.42 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $141.25 | Professional | None | $85.11 | $95.50 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $537.03 | Facility | None | $138.04 | $223.87 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $147.91 | Facility | None | $87.10 | $117.49 | $147.91 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $363.08 | Professional | None | $38.90 | $75.86 | $363.08 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $87.10 | Facility | None | $74.13 | $74.13 | $87.10 |
United Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $173.78 | Professional | None | $30.90 | $58.88 | $173.78 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.78 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$74.13
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.