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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None | $120.23 | $120.23 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $120.23 Median $128.82 Typical High $309.03 | Facility | None | $120.23 | $128.82 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $128.82 | Professional | None | $102.33 | $114.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $407.38 Typical High $1,202.26 | Facility | None | $251.19 | $407.38 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $245.47 | Professional | None | $147.91 | $165.96 | $245.47 |
Health Partners Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $933.25 | Facility | None | $239.88 | $389.05 | $933.25 |
Health Partners Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $245.47 | Professional | None | $147.91 | $147.91 | $245.47 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $309.03 | Facility | None | $151.36 | $204.17 | $309.03 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $630.96 | Professional | None | $75.86 | $141.25 | $630.96 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Facility | None | $128.82 | $128.82 | $151.36 |
United Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $302.00 | Professional | None | $53.70 | $102.33 | $302.00 |
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 $60.26 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $23.99 | $23.99 | $30.90 |
Where Minnesota sits
The same service costs 4.6 times more in Alaska 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· 27th of 51
$129
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.