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 $29.51 Median $239.88 Typical High $691.83 | Facility | None | $29.51 | $239.88 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
BCBS Minnesota Setting Facility Modifier None Typical Low $46.77 Median $562.34 Typical High $1,348.96 | Facility | None | $46.77 | $562.34 | $1,348.96 |
BCBS Minnesota Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | None | $29.51 | $33.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $102.33 Typical High $302.00 | Facility | None | $38.02 | $102.33 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $61.66 | Professional | None | $37.15 | $46.77 | $61.66 |
Health Partners Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $234.42 | Facility | None | $60.26 | $100.00 | $234.42 |
Health Partners Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | None | $37.15 | $37.15 | $61.66 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $125.89 Typical High $389.05 | Facility | None | $44.67 | $125.89 | $389.05 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $36.31 Typical High $120.23 | Professional | None | $19.05 | $36.31 | $120.23 |
United Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $1,288.25 | Facility | None | $912.01 | $977.24 | $1,288.25 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $100.00 | Professional | None | $18.20 | $30.90 | $100.00 |
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 $14.79 Median $14.79 Typical High $14.79 | Facility | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | 52 · Reduced service | $14.79 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.92 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.92 |
Where Minnesota sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 8th of 51
$56.23
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.