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 $38.90 Median $38.90 Typical High $251.19 | Facility | None | $38.90 | $38.90 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $50.12 | Professional | None | $32.36 | $38.90 | $50.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $41.69 Typical High $134.90 | Facility | None | $39.81 | $41.69 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $41.69 | Professional | None | $33.11 | $38.02 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $389.05 | Facility | None | $50.12 | $131.83 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $81.28 | Professional | None | $47.86 | $60.26 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $309.03 | Facility | None | $77.62 | $128.82 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None | $47.86 | $47.86 | $79.43 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $66.07 Typical High $275.42 | Facility | None | $41.69 | $66.07 | $275.42 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $33.11 Typical High $109.65 | Professional | None | $12.02 | $33.11 | $109.65 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
United Setting Professional Modifier None Typical Low $12.02 Median $26.30 Typical High $97.72 | Professional | None | $12.02 | $26.30 | $97.72 |
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 $19.50 Median $19.50 Typical High $19.50 | Facility | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.00 |
Where Minnesota sits
The same service costs 3.9 times more in Alaska than in South Carolina. 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
$41.69
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.