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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None | $83.18 | $83.18 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $134.90 | Facility | None | $69.18 | $87.10 | $134.90 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $87.10 | Professional | None | $70.79 | $79.43 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $812.83 | Facility | None | $104.71 | $281.84 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | None | $102.33 | $128.82 | $169.82 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $645.65 | Facility | None | $165.96 | $275.42 | $645.65 |
Health Partners Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $416.87 | Facility | None | $87.10 | $138.04 | $416.87 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $186.21 | Professional | None | $44.67 | $79.43 | $186.21 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Facility | None | $87.10 | $87.10 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $204.17 | Professional | None | $37.15 | $81.28 | $204.17 |
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 $41.69 Median $41.69 Typical High $41.69 | Facility | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $16.60 | $20.89 |
Where Minnesota sits
The same service costs 4.2 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· 23rd of 51
$87.10
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.