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 $36.31 Median $95.50 Typical High $208.93 | Facility | None | $36.31 | $95.50 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $77.62 | Professional | None | $36.31 | $36.31 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $208.93 | Facility | None | $36.31 | $38.90 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | None | $30.90 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $123.03 Typical High $363.08 | Facility | None | $48.98 | $123.03 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $74.13 | Professional | None | $44.67 | $56.23 | $74.13 |
Health Partners Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $281.84 | Facility | None | $72.44 | $120.23 | $281.84 |
Health Partners Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | None | $44.67 | $44.67 | $74.13 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $77.62 Typical High $245.47 | Facility | None | $45.71 | $77.62 | $245.47 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $102.33 | Professional | None | $22.91 | $39.81 | $102.33 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Facility | None | $38.90 | $38.90 | $45.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $35.48 Typical High $91.20 | Professional | None | $16.22 | $35.48 | $91.20 |
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 $18.20 Median $18.20 Typical High $18.20 | Facility | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 52 · Reduced service | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $7.24 | $9.33 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 15th of 51
$46.77
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.