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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | None | $89.13 | $89.13 | $114.82 |
BCBS Minnesota Setting Facility Modifier None Typical Low $91.20 Median $95.50 Typical High $309.03 | Facility | None | $91.20 | $95.50 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $95.50 | Professional | None | $75.86 | $85.11 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $891.25 | Facility | None | $190.55 | $309.03 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $186.21 | Professional | None | $112.20 | $138.04 | $186.21 |
Health Partners Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $707.95 | Facility | None | $181.97 | $295.12 | $707.95 |
Health Partners Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | None | $109.65 | $109.65 | $181.97 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $457.09 | Facility | None | $95.50 | $177.83 | $457.09 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $204.17 | Professional | None | $48.98 | $85.11 | $204.17 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $223.87 | Professional | None | $39.81 | $87.10 | $223.87 |
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 $44.67 Median $44.67 Typical High $44.67 | Facility | 52 · Reduced service | $44.67 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $17.78 | $22.91 |
Where Minnesota sits
The same service costs 5.4 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
$95.50
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.