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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None | $83.18 | $83.18 | $85.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $446.68 | Facility | None | $83.18 | $89.13 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | None | $70.79 | $79.43 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $831.76 | Facility | None | $173.78 | $281.84 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $169.82 | Professional | None | $102.33 | $114.82 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $645.65 | Facility | None | $165.96 | $275.42 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $177.83 | Facility | None | $104.71 | $141.25 | $177.83 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $97.72 Typical High $436.52 | Professional | None | $44.67 | $97.72 | $436.52 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | None | $89.13 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $208.93 | Professional | None | $37.15 | $70.79 | $208.93 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.98 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 22nd of 51
$89.13
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.