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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Minnesota Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $104.71 | Facility | None | $75.86 | $79.43 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $79.43 | Professional | None | $63.10 | $72.44 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $741.31 | Facility | None | $117.49 | $257.04 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | None | $93.33 | $117.49 | $154.88 |
Health Partners Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $588.84 | Facility | None | $151.36 | $245.47 | $588.84 |
Health Partners Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | None | $91.20 | $91.20 | $151.36 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $380.19 | Facility | None | $95.50 | $158.49 | $380.19 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $223.87 | Professional | None | $47.86 | $79.43 | $223.87 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Facility | None | $79.43 | $79.43 | $95.50 |
United Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $251.19 | Professional | None | $44.67 | $79.43 | $251.19 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Minnesota sits
The same service costs 24.0 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· 22nd of 51
$93.33
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.