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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | None | $190.55 | $190.55 | $245.47 |
BCBS Minnesota Setting Facility Modifier None Typical Low $190.55 Median $204.17 Typical High $489.78 | Facility | None | $190.55 | $204.17 | $489.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $204.17 | Professional | None | $162.18 | $181.97 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,905.46 | Facility | None | $398.11 | $645.65 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $389.05 | Professional | None | $234.42 | $263.03 | $389.05 |
Health Partners Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,479.11 | Facility | None | $380.19 | $630.96 | $1,479.11 |
Health Partners Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $389.05 | Professional | None | $234.42 | $234.42 | $389.05 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $407.38 | Facility | None | $245.47 | $323.59 | $407.38 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $1,023.29 | Professional | None | $102.33 | $223.87 | $1,023.29 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Facility | None | $204.17 | $204.17 | $245.47 |
United Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $478.63 | Professional | None | $85.11 | $162.18 | $478.63 |
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 $95.50 Median $95.50 Typical High $95.50 | Facility | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $38.02 | $48.98 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska 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· 23rd of 51
$204
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.