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 $251.19 Median $380.19 Typical High $912.01 | Facility | None | $251.19 | $380.19 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
BCBS Minnesota Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $446.68 | Facility | None | $229.09 | $263.03 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $263.03 | Professional | None | $213.80 | $239.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $2,454.71 | Facility | None | $524.81 | $851.14 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $512.86 | Professional | None | $309.03 | $346.74 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,949.84 | Facility | None | $501.19 | $812.83 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | None | $302.00 | $302.00 | $467.74 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $660.69 | Facility | None | $263.03 | $398.11 | $660.69 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $426.58 Typical High $1,445.44 | Professional | None | $194.98 | $426.58 | $1,445.44 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
United Setting Professional Modifier None Typical Low $158.49 Median $316.23 Typical High $707.95 | Professional | None | $158.49 | $316.23 | $707.95 |
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 $123.03 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $50.12 | $61.66 |
Where Minnesota sits
The same service costs 3.4 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· 20th of 51
$302
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.