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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None | $41.69 | $41.69 | $52.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $89.13 | Facility | None | $39.81 | $43.65 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $43.65 | Professional | None | $35.48 | $39.81 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $138.04 Typical High $407.38 | Facility | None | $52.48 | $138.04 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $85.11 | Professional | None | $51.29 | $64.57 | $85.11 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $323.59 | Facility | None | $83.18 | $138.04 | $323.59 |
Health Partners Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $83.18 | Professional | None | $50.12 | $50.12 | $83.18 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $208.93 | Facility | None | $36.31 | $69.18 | $208.93 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $93.33 | Professional | None | $12.59 | $27.54 | $93.33 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $102.33 | Professional | None | $12.59 | $27.54 | $102.33 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 52 · Reduced service | $20.89 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.47 |
Where Minnesota sits
The same service costs 5.6 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· 12th of 51
$43.65
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.