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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | None | $20.42 | $20.42 | $25.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.42 Median $21.38 Typical High $89.13 | Facility | None | $20.42 | $21.38 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $21.38 | Professional | None | $17.38 | $19.50 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $67.61 Typical High $199.53 | Facility | None | $27.54 | $67.61 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $40.74 | Professional | None | $24.55 | $30.90 | $40.74 |
Health Partners Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $154.88 | Facility | None | $39.81 | $66.07 | $154.88 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | None | $24.55 | $24.55 | $40.74 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $39.81 Typical High $190.55 | Facility | None | $21.38 | $39.81 | $190.55 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $45.71 | Professional | None | $10.72 | $18.20 | $45.71 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Facility | None | $21.38 | $21.38 | $25.70 |
United Setting Professional Modifier None Typical Low $9.12 Median $19.50 Typical High $50.12 | Professional | None | $9.12 | $19.50 | $50.12 |
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 $10.00 Median $10.00 Typical High $10.00 | Facility | 52 · Reduced service | $10.00 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | 53 · Discontinued | $4.07 | $4.07 | $5.13 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Texas. 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· 27th of 51
$21.38
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.