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 $26.30 Median $107.15 Typical High $234.42 | Facility | None | $26.30 | $107.15 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | None | $26.30 | $26.30 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $89.13 | Facility | None | $26.30 | $27.54 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $27.54 | Professional | None | $22.39 | $25.12 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $257.04 | Facility | None | $35.48 | $87.10 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $53.70 | Professional | None | $32.36 | $40.74 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $204.17 | Facility | None | $52.48 | $87.10 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $56.23 Typical High $158.49 | Facility | None | $31.62 | $56.23 | $158.49 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $74.13 | Professional | None | $14.13 | $27.54 | $74.13 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $83.18 | Facility | None | $27.54 | $27.54 | $83.18 |
United Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $64.57 | Professional | None | $11.75 | $25.12 | $64.57 |
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 $13.18 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.61 |
Where Minnesota sits
The same service costs 3.5 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· 16th of 51
$32.36
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.