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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | None | $52.48 | $52.48 | $66.07 |
BCBS Minnesota Setting Facility Modifier None Typical Low $52.48 Median $54.95 Typical High $446.68 | Facility | None | $52.48 | $54.95 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $54.95 | Professional | None | $44.67 | $50.12 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $524.81 | Facility | None | $109.65 | $177.83 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $107.15 | Professional | None | $64.57 | $81.28 | $107.15 |
Health Partners Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $407.38 | Facility | None | $104.71 | $173.78 | $407.38 |
Health Partners Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | None | $64.57 | $64.57 | $107.15 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $263.03 | Facility | None | $54.95 | $102.33 | $263.03 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $117.49 | Professional | None | $28.18 | $50.12 | $117.49 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Facility | None | $54.95 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $23.44 Median $54.95 Typical High $128.82 | Professional | None | $23.44 | $54.95 | $128.82 |
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 $26.30 Median $26.30 Typical High $26.30 | Facility | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $10.47 | $13.18 |
Where Minnesota sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$54.95
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.