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 $39.81 Median $112.20 Typical High $239.88 | Facility | None | $39.81 | $112.20 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $31.62 | Professional | None | $23.99 | $25.12 | $31.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $25.12 Median $26.92 Typical High $102.33 | Facility | None | $25.12 | $26.92 | $102.33 |
BCBS Minnesota Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | None | $21.38 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $245.47 | Facility | None | $52.48 | $85.11 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $51.29 | Professional | None | $30.90 | $33.88 | $51.29 |
Health Partners Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $194.98 | Facility | None | $50.12 | $81.28 | $194.98 |
Health Partners Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | None | $30.90 | $30.90 | $46.77 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $69.18 Typical High $204.17 | Facility | None | $38.90 | $69.18 | $204.17 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $56.23 Typical High $3,235.94 | Professional | None | $26.92 | $56.23 | $3,235.94 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Facility | None | $26.92 | $26.92 | $31.62 |
United Setting Professional Modifier None Typical Low $15.85 Median $37.15 Typical High $77.62 | Professional | None | $15.85 | $37.15 | $77.62 |
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 $12.59 Median $12.59 Typical High $12.59 | Facility | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 5th of 51
$63.10
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.