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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | None | $57.54 | $57.54 | $72.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $91.20 | Facility | None | $46.77 | $60.26 | $91.20 |
BCBS Minnesota Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | None | $48.98 | $54.95 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $562.34 | Facility | None | $72.44 | $194.98 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $117.49 | Professional | None | $70.79 | $89.13 | $117.49 |
Health Partners Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $446.68 | Facility | None | $114.82 | $190.55 | $446.68 |
Health Partners Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $117.49 | Professional | None | $69.18 | $69.18 | $117.49 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $95.50 Typical High $288.40 | Facility | None | $24.55 | $95.50 | $288.40 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $36.31 Typical High $128.82 | Professional | None | $8.32 | $36.31 | $128.82 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Facility | None | $60.26 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $36.31 Typical High $141.25 | Professional | None | $8.32 | $36.31 | $141.25 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 53 · Discontinued | $11.48 | $11.48 | $14.45 |
Where Minnesota sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 10th of 51
$60.26
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.