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 $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | None | $181.97 | $181.97 | $186.21 |
BCBS Minnesota Setting Facility Modifier None Typical Low $181.97 Median $190.55 Typical High $446.68 | Facility | None | $181.97 | $190.55 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $190.55 | Professional | None | $154.88 | $173.78 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,778.28 | Facility | None | $380.19 | $616.60 | $1,778.28 |
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 $218.78 Median $218.78 Typical High $338.84 | Professional | None | $218.78 | $218.78 | $338.84 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $275.42 Typical High $380.19 | Facility | None | $190.55 | $275.42 | $380.19 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $173.78 Typical High $954.99 | Professional | None | $42.66 | $173.78 | $954.99 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $42.66 Median $114.82 Typical High $446.68 | Professional | None | $42.66 | $114.82 | $446.68 |
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 $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $36.31 | $37.15 |
Where Minnesota sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 18th of 51
$191
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.