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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | None | $128.82 | $128.82 | $165.96 |
BCBS Minnesota Setting Facility Modifier None Typical Low $128.82 Median $138.04 Typical High $331.13 | Facility | None | $128.82 | $138.04 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $138.04 | Professional | None | $109.65 | $123.03 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $1,288.25 | Facility | None | $269.15 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | None | $158.49 | $177.83 | $269.15 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $1,000.00 | Facility | None | $257.04 | $426.58 | $1,000.00 |
Health Partners Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | None | $158.49 | $158.49 | $263.03 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $275.42 | Facility | None | $165.96 | $218.78 | $275.42 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $151.36 Typical High $691.83 | Professional | None | $69.18 | $151.36 | $691.83 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $323.59 | Professional | None | $57.54 | $109.65 | $323.59 |
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 $64.57 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $25.70 | $33.11 |
Where Minnesota sits
The same service costs 5.2 times more in Texas 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· 25th of 51
$138
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.