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 $60.26 Median $660.69 Typical High $851.14 | Facility | None | $60.26 | $660.69 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $77.62 | Professional | None | $58.88 | $60.26 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $208.93 | Facility | None | $61.66 | $64.57 | $208.93 |
BCBS Minnesota Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $64.57 | Professional | None | $51.29 | $57.54 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $602.56 | Facility | None | $83.18 | $204.17 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $125.89 | Professional | None | $74.13 | $93.33 | $125.89 |
Health Partners Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $467.74 | Facility | None | $120.23 | $199.53 | $467.74 |
Health Partners Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $123.03 | Professional | None | $74.13 | $74.13 | $123.03 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $741.31 | Facility | None | $81.28 | $173.78 | $741.31 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $138.04 | Professional | None | $37.15 | $64.57 | $138.04 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Facility | None | $64.57 | $64.57 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $58.88 Typical High $151.36 | Professional | None | $26.92 | $58.88 | $151.36 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $15.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $15.49 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 18th of 51
$74.13
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.