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 $25.12 Median $25.12 Typical High $309.03 | Facility | None | $25.12 | $25.12 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None | $25.12 | $25.12 | $30.20 |
BCBS Minnesota Setting Facility Modifier None Typical Low $158.49 Median $316.23 Typical High $660.69 | Facility | None | $158.49 | $316.23 | $660.69 |
BCBS Minnesota Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $30.20 | Professional | None | $24.55 | $27.54 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $87.10 Typical High $257.04 | Facility | None | $33.11 | $87.10 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $53.70 | Professional | None | $32.36 | $40.74 | $53.70 |
Health Partners Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $204.17 | Facility | None | $52.48 | $87.10 | $204.17 |
Health Partners Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | None | $31.62 | $31.62 | $52.48 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $91.20 Typical High $169.82 | Facility | None | $16.98 | $91.20 | $169.82 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $26.30 Typical High $102.33 | Professional | None | $16.22 | $26.30 | $102.33 |
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 $15.14 Median $26.92 Typical High $87.10 | Professional | None | $15.14 | $26.92 | $87.10 |
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 $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.03 |
Where Minnesota sits
The same service costs 8.5 times more in Alaska 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· 19th of 51
$31.62
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.