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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | None | $57.54 | $57.54 | $74.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $208.93 | Facility | None | $58.88 | $61.66 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | None | $48.98 | $54.95 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $194.98 Typical High $575.44 | Facility | None | $74.13 | $194.98 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $120.23 | Professional | None | $70.79 | $89.13 | $120.23 |
Health Partners Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $446.68 | Facility | None | $114.82 | $190.55 | $446.68 |
Health Partners Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | None | $70.79 | $70.79 | $117.49 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $97.72 Typical High $295.12 | Facility | None | $61.66 | $97.72 | $295.12 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $52.48 Typical High $141.25 | Professional | None | $23.99 | $52.48 | $141.25 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Facility | None | $61.66 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $23.99 Median $52.48 Typical High $144.54 | Professional | None | $23.99 | $52.48 | $144.54 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | 52 · Reduced service | $28.84 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | 53 · Discontinued | $11.48 | $11.48 | $14.79 |
Where Minnesota sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 14th of 51
$61.66
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.