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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None | $54.95 | $54.95 | $69.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $309.03 | Facility | None | $54.95 | $57.54 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | None | $46.77 | $52.48 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $537.03 | Facility | None | $117.49 | $190.55 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $112.20 | Professional | None | $67.61 | $85.11 | $112.20 |
Health Partners Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $426.58 | Facility | None | $109.65 | $181.97 | $426.58 |
Health Partners Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | None | $66.07 | $66.07 | $109.65 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $537.03 | Facility | None | $57.54 | $107.15 | $537.03 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $52.48 Typical High $123.03 | Professional | None | $31.62 | $52.48 | $123.03 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Facility | None | $57.54 | $57.54 | $69.18 |
United Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $134.90 | Professional | None | $24.55 | $53.70 | $134.90 |
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 $27.54 Median $27.54 Typical High $27.54 | Facility | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.80 |
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· 26th of 51
$57.54
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.