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 $134.90 Median $181.97 Typical High $676.08 | Facility | None | $134.90 | $181.97 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | None | $134.90 | $134.90 | $169.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $223.87 | Facility | None | $114.82 | $141.25 | $223.87 |
BCBS Minnesota Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | None | $114.82 | $128.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,318.26 | Facility | None | $281.84 | $457.09 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $275.42 | Professional | None | $165.96 | $186.21 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $1,047.13 | Facility | None | $269.15 | $436.52 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None | $162.18 | $162.18 | $251.19 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $288.40 | Facility | None | $104.71 | $223.87 | $288.40 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $707.95 | Professional | None | $72.44 | $158.49 | $707.95 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $331.13 | Professional | None | $60.26 | $114.82 | $331.13 |
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 $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $26.92 | $33.88 |
Where Minnesota sits
The same service costs 5.1 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· 10th of 51
$162
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.