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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
BCBS Minnesota Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $104.71 | Facility | None | $43.65 | $47.86 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $47.86 | Professional | None | $38.90 | $43.65 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $446.68 | Facility | None | $95.50 | $154.88 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $93.33 | Professional | None | $56.23 | $63.10 | $93.33 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $147.91 Typical High $354.81 | Facility | None | $91.20 | $147.91 | $354.81 |
Health Partners Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | None | $54.95 | $54.95 | $93.33 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $114.82 | Facility | None | $57.54 | $75.86 | $114.82 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $288.40 | Professional | None | $24.55 | $53.70 | $288.40 |
United Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Facility | None | $47.86 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $20.42 Median $38.90 Typical High $112.20 | Professional | None | $20.42 | $38.90 | $112.20 |
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 $22.91 Median $22.91 Typical High $22.91 | Facility | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.33 |
Where Minnesota sits
The same service costs 3.7 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· 24th of 51
$47.86
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.