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 $25.70 Median $64.57 Typical High $190.55 | Facility | None | $25.70 | $64.57 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $33.11 | Professional | None | $21.38 | $25.70 | $33.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $26.30 Median $27.54 Typical High $89.13 | Facility | None | $26.30 | $27.54 | $89.13 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $27.54 | Professional | None | $21.88 | $24.55 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $87.10 Typical High $257.04 | Facility | None | $33.11 | $87.10 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $53.70 | Professional | None | $32.36 | $40.74 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $204.17 | Facility | None | $52.48 | $87.10 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $208.93 | Facility | None | $33.11 | $54.95 | $208.93 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $72.44 | Professional | None | $14.13 | $27.54 | $72.44 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Facility | None | $27.54 | $27.54 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $25.12 Typical High $64.57 | Professional | None | $11.48 | $25.12 | $64.57 |
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 $12.88 Median $12.88 Typical High $12.88 | Facility | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $12.88 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $5.13 | $6.61 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$32.36
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.