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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
BCBS Minnesota Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $660.69 | Facility | None | $158.49 | $331.13 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | None | $70.79 | $79.43 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $234.42 Typical High $691.83 | Facility | None | $87.10 | $234.42 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $141.25 | Professional | None | $85.11 | $107.15 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $229.09 Typical High $537.03 | Facility | None | $138.04 | $229.09 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $426.58 | Facility | None | $97.72 | $131.83 | $426.58 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $218.78 | Professional | None | $43.65 | $69.18 | $218.78 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $602.56 | Facility | None | $426.58 | $467.74 | $602.56 |
United Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $229.09 | Professional | None | $41.69 | $70.79 | $229.09 |
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 $33.88 Median $33.88 Typical High $33.88 | Facility | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.85 |
Where Minnesota sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 18th of 51
$85.11
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.