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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $213.80 Typical High $218.78 | Facility | None | $53.70 | $213.80 | $218.78 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | None | $173.78 | $194.98 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $2,041.74 | Facility | None | $436.52 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $426.58 | Professional | None | $251.19 | $288.40 | $426.58 |
Health Partners Setting Facility Modifier None Typical Low $407.38 Median $676.08 Typical High $1,584.89 | Facility | None | $407.38 | $676.08 | $1,584.89 |
Health Partners Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | None | $251.19 | $251.19 | $416.87 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $524.81 | Facility | None | $263.03 | $407.38 | $524.81 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $1,096.48 | Professional | None | $131.83 | $245.47 | $1,096.48 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Facility | None | $218.78 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $91.20 Median $177.83 Typical High $512.86 | Professional | None | $91.20 | $177.83 | $512.86 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $40.74 | $41.69 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 27th of 51
$219
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.