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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | None | $177.83 | $177.83 | $229.09 |
BCBS Minnesota Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $309.03 | Facility | None | $158.49 | $190.55 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None | $151.36 | $169.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $602.56 Typical High $1,778.28 | Facility | None | $223.87 | $602.56 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $363.08 | Professional | None | $218.78 | $275.42 | $363.08 |
Health Partners Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $1,380.38 | Facility | None | $354.81 | $588.84 | $1,380.38 |
Health Partners Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $363.08 | Professional | None | $218.78 | $218.78 | $363.08 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $275.42 Typical High $891.25 | Facility | None | $104.71 | $275.42 | $891.25 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $114.82 Typical High $407.38 | Professional | None | $36.31 | $114.82 | $407.38 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $36.31 Median $114.82 Typical High $446.68 | Professional | None | $36.31 | $114.82 | $446.68 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $35.48 | $45.71 |
Where Minnesota sits
The same service costs 11.2 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· 13th of 51
$191
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.