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 $38.02 Median $70.79 Typical High $251.19 | Facility | None | $38.02 | $70.79 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | None | $38.02 | $38.02 | $48.98 |
BCBS Minnesota Setting Facility Modifier None Typical Low $38.90 Median $40.74 Typical High $104.71 | Facility | None | $38.90 | $40.74 | $104.71 |
BCBS Minnesota Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $40.74 | Professional | None | $32.36 | $36.31 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $380.19 | Facility | None | $81.28 | $128.82 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $79.43 | Professional | None | $46.77 | $53.70 | $79.43 |
Health Partners Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $302.00 | Facility | None | $75.86 | $125.89 | $302.00 |
Health Partners Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $77.62 | Professional | None | $46.77 | $46.77 | $77.62 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $81.28 | Facility | None | $38.02 | $58.88 | $81.28 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $48.98 Typical High $204.17 | Professional | None | $24.55 | $48.98 | $204.17 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Facility | None | $40.74 | $40.74 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $32.36 Typical High $95.50 | Professional | None | $16.98 | $32.36 | $95.50 |
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 $19.05 Median $19.05 Typical High $19.05 | Facility | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.71 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 13th of 51
$46.77
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.