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 $35.48 Median $41.69 Typical High $53.70 | Professional | None | $35.48 | $41.69 | $53.70 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $89.13 | Facility | None | $39.81 | $44.67 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | None | $35.48 | $39.81 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $416.87 | Facility | None | $87.10 | $141.25 | $416.87 |
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 $51.29 Median $51.29 Typical High $85.11 | Professional | None | $51.29 | $51.29 | $85.11 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $208.93 | Facility | None | $44.67 | $70.79 | $208.93 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $93.33 | Professional | None | $15.49 | $33.88 | $93.33 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Facility | None | $44.67 | $44.67 | $53.70 |
United Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $104.71 | Professional | None | $15.49 | $33.88 | $104.71 |
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 $10.72 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.72 |
Where Minnesota sits
The same service costs 5.4 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· 13th of 51
$44.67
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.