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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | None | $77.62 | $77.62 | $97.72 |
BCBS Minnesota Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $309.03 | Facility | None | $77.62 | $81.28 | $309.03 |
BCBS Minnesota Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $81.28 | Professional | None | $66.07 | $74.13 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $758.58 | Facility | None | $162.18 | $263.03 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | None | $95.50 | $120.23 | $158.49 |
Health Partners Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $602.56 | Facility | None | $154.88 | $257.04 | $602.56 |
Health Partners Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | None | $93.33 | $93.33 | $158.49 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $389.05 | Facility | None | $81.28 | $151.36 | $389.05 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $74.13 Typical High $173.78 | Professional | None | $41.69 | $74.13 | $173.78 |
United Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $97.72 | Facility | None | $81.28 | $81.28 | $97.72 |
United Setting Professional Modifier None Typical Low $34.67 Median $75.86 Typical High $190.55 | Professional | None | $34.67 | $75.86 | $190.55 |
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 $38.90 Median $38.90 Typical High $38.90 | Facility | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 53 · Discontinued | $15.49 | $15.49 | $19.50 |
Where Minnesota sits
The same service costs 4.9 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· 24th of 51
$81.28
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.