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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | None | $102.33 | $102.33 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $446.68 | Facility | None | $104.71 | $109.65 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $109.65 | Professional | None | $87.10 | $97.72 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $1,023.29 | Facility | None | $213.80 | $346.74 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $213.80 | Professional | None | $125.89 | $141.25 | $213.80 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $794.33 | Facility | None | $204.17 | $338.84 | $794.33 |
Health Partners Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $263.03 | Facility | None | $131.83 | $173.78 | $263.03 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $123.03 Typical High $549.54 | Professional | None | $66.07 | $123.03 | $549.54 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $89.13 Typical High $257.04 | Professional | None | $45.71 | $89.13 | $257.04 |
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 $51.29 Median $51.29 Typical High $51.29 | Facility | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.89 |
Where Minnesota sits
The same service costs 3.9 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· 26th of 51
$110
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.