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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $120.23 Typical High $446.68 | Facility | None | $114.82 | $120.23 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $120.23 | Professional | None | $95.50 | $107.15 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $1,122.02 | Facility | None | $239.88 | $380.19 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $234.42 | Professional | None | $138.04 | $158.49 | $234.42 |
Health Partners Setting Facility Modifier None Typical Low $223.87 Median $371.54 Typical High $891.25 | Facility | None | $223.87 | $371.54 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None | $138.04 | $138.04 | $229.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $239.88 | Facility | None | $144.54 | $190.55 | $239.88 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $602.56 | Professional | None | $61.66 | $134.90 | $602.56 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Facility | None | $120.23 | $120.23 | $144.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $95.50 Typical High $281.84 | Professional | None | $50.12 | $95.50 | $281.84 |
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 $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.99 |
Where Minnesota sits
The same service costs 5.9 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· 20th of 51
$120
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.