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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | None | $38.90 | $38.90 | $50.12 |
BCBS Minnesota Setting Facility Modifier None Typical Low $39.81 Median $41.69 Typical High $104.71 | Facility | None | $39.81 | $41.69 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $41.69 | Professional | None | $33.11 | $37.15 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $389.05 | Facility | None | $83.18 | $134.90 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $81.28 | Professional | None | $47.86 | $54.95 | $81.28 |
Health Partners Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $309.03 | Facility | None | $77.62 | $128.82 | $309.03 |
Health Partners Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None | $47.86 | $47.86 | $79.43 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $100.00 | Facility | None | $50.12 | $77.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $46.77 Typical High $346.74 | Professional | None | $25.12 | $46.77 | $346.74 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
United Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $97.72 | Professional | None | $17.38 | $34.67 | $97.72 |
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 $19.50 Median $19.50 Typical High $19.50 | Facility | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.00 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 29th of 51
$41.69
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.