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 $40.74 Median $194.98 Typical High $407.38 | Facility | None | $40.74 | $194.98 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | None | $40.74 | $40.74 | $52.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $67.61 | Facility | None | $34.67 | $43.65 | $67.61 |
BCBS Minnesota Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | None | $34.67 | $38.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $407.38 | Facility | None | $87.10 | $141.25 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $85.11 | Professional | None | $51.29 | $57.54 | $85.11 |
Health Partners Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $323.59 | Facility | None | $83.18 | $134.90 | $323.59 |
Health Partners Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $83.18 | Professional | None | $50.12 | $50.12 | $83.18 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $104.71 | Facility | None | $45.71 | $74.13 | $104.71 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $48.98 Typical High $331.13 | Professional | None | $26.30 | $48.98 | $331.13 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $102.33 | Professional | None | $18.20 | $34.67 | $102.33 |
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 $20.42 Median $20.42 Typical High $20.42 | Facility | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.47 |
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· 18th of 51
$50.12
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.