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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $91.20 | Professional | None | $64.57 | $70.79 | $91.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $67.61 Median $75.86 Typical High $134.90 | Facility | None | $67.61 | $75.86 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $75.86 | Professional | None | $60.26 | $67.61 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $707.95 | Facility | None | $154.88 | $251.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Professional | None | $87.10 | $97.72 | $147.91 |
Health Partners Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $562.34 | Facility | None | $141.25 | $234.42 | $562.34 |
Health Partners Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | None | $87.10 | $87.10 | $134.90 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $363.08 | Facility | None | $75.86 | $120.23 | $363.08 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $67.61 Typical High $380.19 | Professional | None | $15.49 | $67.61 | $380.19 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Facility | None | $75.86 | $75.86 | $91.20 |
United Setting Professional Modifier None Typical Low $15.49 Median $45.71 Typical High $169.82 | Professional | None | $15.49 | $45.71 | $169.82 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | 53 · Discontinued | $14.13 | $14.13 | $18.20 |
Where Minnesota sits
The same service costs 6.0 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· 14th of 51
$75.86
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.