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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None | $100.00 | $100.00 | $128.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $309.03 | Facility | None | $100.00 | $107.15 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $107.15 | Professional | None | $85.11 | $95.50 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $1,000.00 | Facility | None | $125.89 | $338.84 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $204.17 | Professional | None | $123.03 | $154.88 | $204.17 |
Health Partners Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $776.25 | Facility | None | $199.53 | $331.13 | $776.25 |
Health Partners Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | None | $123.03 | $123.03 | $204.17 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $169.82 Typical High $501.19 | Facility | None | $107.15 | $169.82 | $501.19 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $223.87 | Professional | None | $44.67 | $89.13 | $223.87 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Facility | None | $107.15 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $44.67 Median $95.50 Typical High $251.19 | Professional | None | $44.67 | $95.50 | $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 $50.12 Median $50.12 Typical High $50.12 | Facility | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $19.95 | $25.70 |
Where Minnesota sits
The same service costs 6.2 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· 21st of 51
$107
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.