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 $114.82 Median $114.82 Typical High $275.42 | Facility | None | $114.82 | $114.82 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | None | $114.82 | $114.82 | $147.91 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $331.13 | Facility | None | $114.82 | $123.03 | $331.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $123.03 | Professional | None | $97.72 | $109.65 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $389.05 Typical High $1,148.15 | Facility | None | $239.88 | $389.05 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $239.88 | Professional | None | $141.25 | $158.49 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $891.25 | Facility | None | $229.09 | $380.19 | $891.25 |
Health Partners Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $234.42 | Professional | None | $141.25 | $141.25 | $234.42 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $549.54 | Facility | None | $95.50 | $223.87 | $549.54 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $616.60 | Professional | None | $74.13 | $138.04 | $616.60 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $288.40 | Professional | None | $51.29 | $100.00 | $288.40 |
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 $57.54 Median $57.54 Typical High $57.54 | Facility | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.44 |
Where Minnesota sits
The same service costs 4.9 times more in Texas 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· 25th of 51
$123
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.