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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | None | $158.49 | $158.49 | $204.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $446.68 | Facility | None | $162.18 | $169.82 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $169.82 | Professional | None | $134.90 | $151.36 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,584.89 | Facility | None | $338.84 | $549.54 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $331.13 | Professional | None | $199.53 | $223.87 | $331.13 |
Health Partners Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $1,258.93 | Facility | None | $323.59 | $524.81 | $1,258.93 |
Health Partners Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $302.00 | Professional | None | $194.98 | $194.98 | $302.00 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $269.15 Typical High $407.38 | Facility | None | $194.98 | $269.15 | $407.38 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $169.82 Typical High $851.14 | Professional | None | $66.07 | $169.82 | $851.14 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Facility | None | $169.82 | $169.82 | $204.17 |
United Setting Professional Modifier None Typical Low $66.07 Median $128.82 Typical High $398.11 | Professional | None | $66.07 | $128.82 | $398.11 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $31.62 | $32.36 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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· 24th of 51
$170
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.