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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $446.68 | Facility | None | $66.07 | $69.18 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $69.18 | Professional | None | $56.23 | $63.10 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $645.65 | Facility | None | $138.04 | $223.87 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $134.90 | Professional | None | $81.28 | $102.33 | $134.90 |
Health Partners Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $512.86 | Facility | None | $131.83 | $218.78 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | None | $79.43 | $79.43 | $134.90 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $331.13 | Facility | None | $69.18 | $128.82 | $331.13 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $147.91 | Professional | None | $35.48 | $63.10 | $147.91 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Facility | None | $69.18 | $69.18 | $83.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $69.18 Typical High $162.18 | Professional | None | $29.51 | $69.18 | $162.18 |
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 $32.36 Median $32.36 Typical High $32.36 | Facility | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $32.36 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 17th of 51
$69.18
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.