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 $234.42 | Professional | None | $181.97 | $181.97 | $234.42 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $346.74 | Facility | None | $173.78 | $194.98 | $346.74 |
BCBS Minnesota Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | None | $154.88 | $173.78 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,819.70 | Facility | None | $380.19 | $616.60 | $1,819.70 |
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 $223.87 Median $223.87 Typical High $346.74 | Professional | None | $223.87 | $223.87 | $346.74 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $389.05 | Facility | None | $234.42 | $309.03 | $389.05 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $213.80 Typical High $954.99 | Professional | None | $97.72 | $213.80 | $954.99 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $234.42 | Facility | None | $194.98 | $194.98 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $457.09 | Professional | None | $81.28 | $154.88 | $457.09 |
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 $114.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $36.31 | $46.77 |
Where Minnesota sits
The same service costs 8.3 times more in Texas than in Delaware. 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· 26th of 51
$195
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.